Care coordination and system leadership

All registered nurses with a community nursing specialist practice qualification have an extensive understanding of relevant social, political and economic policies and the way they impact on the broader community, and of the wider determinants of health and health inequalities.

They understand in detail the functions of the range of different agencies within the community that have a direct or indirect impact on health and wellbeing. They understand the political and economic drivers of each agency, and the resulting opportunities, constraints and risks, which enables them to successfully build appreciative and productive working relationships
for the benefit of people, families and communities they work with.

They are able to design and deliver an effective model of person-centred community nursing services, addressing the requirements of the specific client group by integrating within, and maximising the contribution of, other agencies and services. This will include an understanding of those agencies and services beyond their intended field of specialist community nursing practice, to support integration and system wide approaches and collaboration. All registered nurses with a community specialist qualification have the knowledge, skills and attributes to influence and work
collaboratively with other agencies and professionals to design and deliver coordinated, sustained and productive change within the specific context in which they work.

They are able to use their specialist community nursing knowledge, skills and experience to influence and bring about evidence-based change at a local, regional and national level for the benefit of people, families and communities.

Outcomes

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Registered nurses with this qualification in their intended field of practice, will be able to:

7.1critically analyse political and economic policies and drivers that may have an impact on the health, care and wellbeing of local communities

7.2understand the economic principles that drive health and social care, and their impact on resource allocation in integrated primary and community care services

7.3synthesise epidemiological, demographic, social, political and economic trends to forecast their impact and influence on current and prospective community nursing services

7.4build relationships between teams within different systems in health and care, appreciating the value of different approaches, skill sets and expertise

7.5maximise effectiveness of different services within the system through collaboration and co-design, ensuring that services work seamlessly together to meet the needs of people and communities

7.6apply a range of methodologies to drive continuous service improvement within the variety of different organisations and agencies that deliver services

7.7proactively lead on the creation and development of effective system networks that enhance communication and decision-making across organisations and agencies

7.8demonstrate cultural competence and leadership when challenging discriminatory, oppressive cultures and behaviours at a system level

7.9develop the skills required to influence the health and social care strategies and policies at a local, regional and national level

7.10effectively work in partnership with peers at a strategic level to promote and influence change and improve health outcomes for the people and communities served.