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Professional nursing and midwifery

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Safeguarding is about protecting children and adults from abuse or neglect and educating those around them to recognise the signs and dangers.
Supporting the Welsh Government with professional and independent pharmaceutical advice.
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In March 2016 the National Assembly passed the Nurse Staffing Levels (Wales) Act. We are supporting the development of the statutory guidance in relation to the Act.

The CNO and Nursing officers advise on the education and training of nursing students and registered nurses to Welsh Government Ministers, civil servants and health organisations.

Regulation and revalidation

Revalidation is the process that all nurses and midwives in the UK follow to maintain their registration with their regulator the Nursing and Midwifery Council (NMC).

Revalidation helps nurses and midwives demonstrate that they practise safely and effectively. It encourages reflection on the NMC Code in their practice and demonstration that they are 'living' the standards set out in it.  

The NMC website (external link) has information on regulation and revalidation.

Workforce and development

In March 2016 the National Assembly passed the Nurse Staffing Levels (Wales) Act. We are supporting the development of the statutory guidance in relation to the Act.

We also commission, lead and support work on the development of the Post Registration Career Framework for the nursing and midwifery workforce to make sure they have the skills and competences needed to meet the demands of modern day healthcare. This includes: 
  • specialist and advanced practice
  • leadership development
  • health care support workers 
  • workforce planning
  • recruitment and retention.
Publications related to this work are available  on the Workforce Education and Development Service website (external link).

Professionalism in nursing and midwifery

The CNO and nursing officers provide support, leadership, expert professional advice and direction on nursing, midwifery and specialist public health nursing to Welsh Government Ministers, civil servants and health organisations.

The four UK CNOs, with the NMC, are  working to define  professionalism in practice by focusing on the contribution of nurses and midwives. This work will be an important part of what the Code and revalidation mean in practice.

The Northern Ireland Practice and Education Council for Nursing and Midwifery (NIPEC) have been asked on behalf of the UK CNOs to develop work on professionalism in nursing and midwifery. Further details of this initiative are available on the NIPEC website (external link).

Nursing and midwifery practice and performance

The Health and Care Standards (revised April 2015) describe how a service provides high quality, safe and reliable person-centred care.  

They were developed following a review of the previous standards ‘Doing Well, Doing Better’ and the ‘Fundamentals of Care’ 

The standards are structured as follows:  
  • staying healthy
  • safe care
  • effective care 
  • timely care 
  • dignified care 
  • individual care, and 
  • staff and resources. 
The Health and Care Standards are available on the NHS Wales Governance E-manual (external site).

The CNO contributes to the development and monitoring of the NHS outcomes framework

Patient safety and safeguarding

The CNO leads on  safeguarding children and adults in NHS Wales. She fulfils much of this function through the all Wales safeguarding people NHS network.

The network connects organisations in NHS Wales and encourages collaboration to
  • recognise common issues 
  • develop solutions, and 
  • achieve healthcare standards to better safeguard children and adults at risk. 
At its heart is evaluation of the efficiency and efficacy of child protection and safeguarding arrangements and interventions, as well as working towards consistent practice across the NHS. It is professionally led by the national safeguarding team (NHS) Wales (external link).

Network membership

It is comprised of experts  from all seven health boards and the three trusts in NHS Wales. The network is chaired by  the service lead from the National Safeguarding Team. 

Network achievements

Achievements to date include:
  • NHS Wales quality outcomes framework for safeguarding children
  • all Wales risk assessment tool for children and young people admitted for an episode of care to a non paediatric area
  • child sexual exploitation prevention strategy and action plan for NHS Wales
  • workshop on adult safeguarding and the NHS
  • developed quality standards for medical advisor role of adoption and fostering and presented to health board medical directors for implementation
  • standards for mental health services with regard to safeguarding children
  • female genital mutilation pathway
  • a new set of child protection paediatric services specific standards have been produced supported by a new audit tool.
The network has gained strength from its focus on appreciative inquiry and learning through sharing good practice from teams across Wales, for example:  
  • engagement with children and young people when designing services
  • a patient’s story of their organisation’s response to their domestic abuse, through to  
  • learning from homicide reviews in mental health services conducted by Healthcare Inspectorate Wales 
From April 2016, the Network’s focus has included  adults at risk with broadened terms of reference in line with the Social Services and Well Being (Wales) Act 2014.

The CNO and Nursing Officers also support the work of the NHS Quality and Safety Forum and lead on patient safety issues such as pressure sores and falls.