The Queen's Nursing Institute

The Queen's Nursing Institute works with the public, nurses and decision-makers to make sure that good quality nursing is available at home for everyone when they need it.

Healthcare at home

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Right Nurse, Right Skills Campaign

1 in 4 people over the age of 75 need a district nurse's care at home, rising to 1 in 2 people over 85. In total they visit more than 2.6 million people a year. The need for skilled home nursing is rising as the population ages, more people live with long term conditions, and people are discharged earlier from hospital.

Yet the number of trained district nurses has been falling rapidly for more than a decade. At the same time, the number of healthcare assistants - trained to do specific tasks but who are not qualified nurses - has more than doubled.

Nursing care in the community has also got more complicated. In order to ensure that high quality care is available to everyone, where and when they need it, we need investment in community nursing education, training and workforce. Only this way can we have properly skilled and qualified nurses available at all times - the right nurse, with the right skills. 

Nursing at home is not a luxury or an optional extra; it must be at the very core of healthcare. Without a universal home nursing service, hospital discharge is more difficult, other services become overburdened and, most importantly, patients suffer.We need investment in home nursing to make sure patients are able to stay at home, safe, supported, secure and comfortable, and avoid unnecessary and stressful hospital admissions.

The QNI's Right Nurse, Right Skills campaign is a fundamental inspiration for our policy, education and engagement work. 

Messages of Suppport

Baroness Sally Greengross of The International Longevity Centre:

“The need for skilled home nursing is rising fast as the population ages and people are discharged home earlier from hospital. The care they are given must be given by the right nurse with the right skills, which is why I am delighted to support the QNI in its vital campaign. I would encourage everyone who cares about the quality of nursing that they and their loved ones will receive at home when they need it, to support this campaign.”

Julie Walters CBE:

'I do think it's comforting to know that a trained and qualified nurse will visit us when we're ill at home. It's very worrying that these trained nurses are getting thin on the ground, and that they are being replaced by less experienced nurses or health care assistants. That's why I support the QNI's campaign: we are all potential patients, and we all deserve the best possible nursing care in our own homes, from the 'right nurse with the right skills.'

The MS Society:

"The MS Society is pleased to support this campaign. Many people with MS rely on community nurse specialists to provide them with much needed care in their own homes; the nurses play a vital role in advising on self care and co-ordinating input from other professionals, too. These tasks are highly specialised and require that nurses are trained and supported in their complex roles. People with MS need the right nurse with the right skills to deliver high quality care." 

The Stroke Association:

"Over 300,000 people in England alone live with moderate to severe disability as a result of a stroke and with an ageing population this figure looks set to rise year on year. Skilled home nursing is vital to enable people to live in their own homes and remain active and independent and The Stroke Association is pleased to support QNI in its campaign.”

Education for Health:

"Evidence based care can only be provided by a health and social care team who have undertaken specific training and education which has been evaluated or otherwise quality assured to lead to improved outcomes in healthcare and patients' quality of life - in the 'closed door setting' of many care homes this is more critical than ever if our ageing and elderly population are to enjoy the best health available to their own unique context and life story. Education for Health is delighted to support this campaign and will be actively looking for opportunities to raise awareness for it."

Diabetes UK:

"With diabetes affecting the lives of 1 in 10 75 year olds, and 1 in 5 people over 85, Diabetes UK believes it is essential for these patients to have access to the highest quality care, in whichever setting they receive it. For those who need nursing at home, that care must be delivered by those who have sufficient skills to deliver it safely and effectively."

Macmillan Cancer Support:

"Macmillan Cancer Support is delighted to be able to take the opportunity to support the QNI Campaign 'Right Nurse, Right Skills' and to stress the importance of access to high quality community nursing care. Increasingly, people living with cancer need to be supported at home and in the community rather than in hospitals, and generalist nurses with specialist support are crucial to this. We believe that people who are nearing the end of their life should have the right to live their final days at home if they wish to do so and that access to quality community nursing outside traditional working hours is essential to their support. The experience and outcomes of people affected by cancer will be greatly improved by having access to the right community nursing staff with the right skills at the right time to meet their individual needs."

The British Heart Foundation:

"The British Heart Foundation currently supports over 450 specialist nurses in cardiac care, and we're delighted to support the campaign 'Right Nurse, Right Skills'. We recognise that nurses need specialist knowledge, skills and expertise to care for heart patients in the community. Hundreds of thousands of heart patients and their carers have benefited from, and come to trust, our specialist nurses. However, this trust and the quality of care may be diminished if community nurses lack such a high calibre of specialist training and proficiencies."








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