In 2013, the Department of Health and QNI created a new workplace model for district nursing.

It recognises the unique and specialist contribution of district nurses and their teams.


  • 6Cs – enduring values underpinning the service and delivery
  • trust – which starts with therapeutic relationships between patients and carers
  • partnerships across GP and other services – collaborative working across agencies to support care
  • supporting transition of care – working with partners to provide seamless support including discharge planning, transition to residential or hospice care
  • supporting patient choice – working with patients and carers to encourage active participation in care and decision making
  • managing risk – reducing social isolation through supportive care co-ordination, supporting the needs of carers and safeguarding vulnerable patients.


  • making every contact count – providing opportunistic public health interventions and supporting the health and wellbeing of carers
  • maximising efficiency – use of productive community services and innovation to enhance care
  • integrated working with health and social care – developing strengthened ways of working with partners to maximise resources
  • delivering complex care – supporting care in community settings e.g. administering chemotherapy at home, reducing avoidable hospital admissions and promotion of early discharge
  • new technology to enhance care – the use of tele-health and mobile technology to support complex care in the home.

Core Elements

  • Population and case load management
  • Support and care for patients who are unwell, recovering at home and at end of life
  • Support and care for independence.

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