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Development and delivery of a clinical leadership programme for integrated community teams

02 November 2019
Volume 24 · Issue 11

Abstract

Neighbourhood teams were formed throughout Worcestershire in early 2018, which led to a change in staff roles and responsibilities, as these are multidisciplinary community teams. It became apparent during the transition that many of the staff in band 6 roles required additional support and education to enable them to develop their knowledge and skills. Therefore, a clinical leadership programme was developed specifically for these staff. The programme followed the principles of the NHS Leadership Framework and consisted of six full-day training sessions. During the programme, staff identified issues within their team and developed a plan to address these issues over the following 6–12 months. The next two cohorts of the programme included staff from out-of-hours community nursing teams. The feedback from all delegates and managers was overwhelmingly positive, and delegates continue to implement their plans.

In 2014, the Five Year Forward View (NHS England, 2014) announced the creation of new ways of delivering care that blurred the traditional boundaries between services. This road map included the development of out-of-hospital care, integrated working and patient empowerment strategies to help them manage their conditions, with the hope that this would enable services to be clinically and financially sustainable. The services within these new models of care were expected to utilise an integrated approach to deliver services to meet the needs of the local population.

To support this vision and as part of the local approach in Worcestershire, community services were integrated into neighbourhood teams (NT), with the last NT being formed in June 2018. These teams comprise registered nurses (general and mental health), healthcare support workers, physiotherapists and occupational therapists; some teams also include advanced nurse practitioners. At the time of writing, these teams were at different stages of development and had different priorities, according to the needs of the population.

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