Care in Local Communities
A New Vision and Model for District Nursing
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.
- 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.