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The Queen's Nursing Institute

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Nurses reading the document'2020 VISION: Focusing on the Future of District Nursing'

This major new QNI report was launched at a meeting of district nurses at Bingfield Primary Care Centre in Islington, London, on 13 January 2009. Since then, more than 5,000 copies have been requested by district nurses, managers and educators, as well as educational institutions, from across the UK and overseas. 

‘2020 Vision’ looks back at the heritage of the past 150 years of district nursing and offers insights and predictions about the future of district nursing over the next decade to 2020.

As financial and other pressures lead to more changes in the delivery of essential nursing services, as well as far-reaching organizational change, we believe that this report is essential reading for everyone concerned with the nursing care of people in their own homes. From pre-registration students and their teachers to experienced district nurses and their teams, it is essential that we share a vision in which the traditional values and principles of district nursing are delivered in a 21st century context, and with 21st century tools, to meet the needs of today’s patients and their families. 

Please click here to download '2020 Vision - Focusing on the Future of District Nursing.' 

Please click here to download the Executive Summary only.

Please click here if you would like to receive your free copy by post.

Please note, if you do order printed copies, please consider donating to the QNI to help cover print and postage costs. We can tell you what the exact costs are if you contact us - please email Deborah.Hinds@qni.org.uk . You can donate either online, or by post - any donation is very gratefully received.

Readers have commented:

From Barbara Charlton, District Nurse team manager, Blackpool PCT:

"This report does reflect how district nursing is today. The quotes from district nurses are very true and very apt. I was disappointed though that it didn’t mention the split between health and social care – it was a great shame when this happened, as patients don’t know the difference, they only know that they have needs to be met. Also, 60% of our caseload is ‘static’ – conditions that will always need care, no matter how services are re-organised. How are these needs going to be met in future?

I think that there is too little recognition generally of the cognitive skills of district nurses – as a team manager I spend much of my time problem solving which is about patient care, but not necessarily with the patient. My cognitive skills are not accurately reflected in the patient data information collection and much more of my time is office based, while the team do most of the 'hands on care'."

Another district nurse commented:

"The booklet is well written, clear and concise. I think every DN should read it. I will definitely share my copies with the community nurses and DNs that I have the chance to... We have a long road to travel if we are to succeed in getting recognition both with employers and commissioners. District nurses, being autonomous as professionals, find it difficult to be collective and be proactive, out of the 'comfort zone' and working with one another to achieve long term goals for the good of future generations of district nursing service. It has lasted for 150 years with an unblemished record, well liked and respected by patients and families..."