#WeDNs - Wednesday 25th May 2016 8pm (GMT Standard Time)
Skill mix in the community
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It is now common knowledge that because of the advances in medicine in technology, people are living longer with more complex conditions. Therefore effective skill mix is essential for the nursing profession, to move forward, to meet the competing demands, whilst also promoting patient safety and quality care for a better patient experience.
Community nursing services are delivered by a variety of disciplines including, district nurses, staff nurses, nurse practitioners, matrons and health care assistants, to name a few. However, what we need to ensure is that the right nurse with the right skills, at the right time is delivering the care to optimise patient safety and the patient experience as highlighted by Jane Cummings (CNO) (NHS Commissioning Board,2012).
There are further challenges managing community nursing services. As the QNI (2011) identify, it is now well established that care is shifting from hospitals to the community setting but the number of District Nurses reportedly has decreased by 40%. This raises concerns around dilution of the service as well as fears around recruitment and retention. Additionally the number of healthcare assistants carrying out tasks, which would have previously been done by qualified nurses has doubled.
Recent public enquiries into health care services, whilst mainly focusing on the acute sector, raise issues for consideration within community nursing. Sir Bruce Keogh (2013) suggested an over reliance upon unregistered staff in delivering care, The Cavendish Review (2013) also identified that over 1.3 million frontline staff, who are unregistered, are delivering the bulk of hands on care. The Francis Inquiry (2012) highlighted the need to re-build trust and confidence in the services provided. Unacceptable individual or organisational failings must be addressed and the public have the right to receive quality, safe and effective person centred care. Therefore effective leadership, by everyone, to promote effective skill mix, promoting a positive organisational culture whereby staff feel supported and valued, is required.
In recent years, newly qualified staff are coming straight to the community setting, therefore community nursing services need to ensure that support is available to help with the novice to expert journey. Again this requires investing time to nurture, to learn/coach and support staff, which requires investment in education, training and workforce.
Community nursing services must strive for excellence and ensure that all staff regardless of role are delivering high quality, safe and compassionate care to patients and their relatives/carers within their own homes.
This chat will allow the following questions to be explored in relation to skill mix.
Proposed Questions
- What examples of good practice do you have in your area, in relation to skill mix?
- What are the benefits of effective skill mix to the patient/relative/carer?
- What are the benefits of effective skill mix to staff and their community teams?
- How can we work smarter, not harder, to ensure effective skill mix, whilst promoting patient safety?
- What education/training packages are available to support staff within their individual roles?
- What work force planning measures are in place to assist with concerns in the decrease in the numbers of DNs with SPQ?
- What leadership qualities are required to promote the right nurse, right, skill at right time aim?
References/Further Reading
Cavendish, C.(2013) The Cavendish Review: An independent review into healthcare assistants and support workers [Online].London: DoH. Available at:
http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/236212/Cavendish_Review.pdf
[Accessed 05 May 2016]
Francis, R. (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary. [Online]. London: The Stationary Office. Available at:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/279124/0947.pdf.
[Accessed 05 May 2016]
Keogh, B. (2013)Review into the Quality of Care Provided by 14 Hospital Trusts in England: Overview Report [Online]. London: NHS England. Available at:
https://www.nhs.uk/NHSEngland/bruce-keogh-review/Documents/outcomes/keogh-review-final-report.pdf
[Accessed 05 May 2016]
NHS Commissioning Board (2012) Compassion in Practice [Online] Leeds: NHS Commissioning Board. Available at:
http://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-practice.
[Accessed 05 May 2016]
QNI (2011) Right Nurse, Right Skills Campaign [Online] London: QNI. Available at:
[Accessed 05 May 2016]
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@Methusalada75
01 June 2016 00:24
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I have been informed by some in the UK NHS health service profession, that I am an an experienced patient . Not sure if I should accept this title with humility or accept a mythological golden crown of honour.But now this but should I possibly state "That I believe in and trust you boys & girls in the NHS" It is sad that most politicians & marketeers choose not to accept or believe in my personal judgement & experience & choose to make choices upon economic decisions . Many of which I have personally contributed to for over 50 years ! Is it that I have been conned by successive Governments for half a century. Now it appears you are also to become included in the fraud pretence of liars & psychopaths ? |
#WeDNs transcript
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@WeCommNurses
25 May 2016 20:00
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Good evening everyone! Give a wave if you're joining the #WeDNs chat ???? |
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@HeatherBain9
25 May 2016 20:01
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Hi from sunny Aberdeen @rgumscadn #wedns |
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@Helenakelly73
25 May 2016 20:01
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???? from Edinburgh #weDNs |
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@davidpugh25
25 May 2016 20:01
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@WeDistrictNurse Hello and waving in Bristol ?? #weDNs |
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@WeCommNurses
25 May 2016 20:04
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So here goes, what does skill mix mean to you in your role and what examples of good practice are out there in comm teams? #WeDNs |
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@rgumscap
25 May 2016 20:05
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#wedns looking forward to hearing about skill mix |
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@davidpugh25
25 May 2016 20:06
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@WeDistrictNurse Skill mix really important valuing wide range of individuals to make one team #wedns |
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@Helenakelly73
25 May 2016 20:07
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Ensuring the knowledge and skills of individuals are utilised to meet the needs of the community it serves #weDNs |
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@Vicsay11
25 May 2016 20:07
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@WeDistrictNurse In the team I work with we have DNs, SNs, HCAs and TAPs. Everyone is aware of their limits and delegation is vital #weDNs |
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@WeCommNurses
25 May 2016 20:07
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Thank you @davidpugh25, any other thoughts on this? #WeDNs https://t.co/sFpk1BHSKy |
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@WeCommNurses
25 May 2016 20:07
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@dellapowell1 @WeNurses hello ???? #WeDNs |
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@rgumscap
25 May 2016 20:08
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Is it about right nurse/person with right skills in right place delivering care to a defined population #WeDNs https://t.co/kzpiOlX1cQ |
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@Gray3Gray
25 May 2016 20:08
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Hi sorry to be late in. Trisha here, skill mix in community vital to sustain workforce development #weDNs |
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@Helenakelly73
25 May 2016 20:08
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To ensure the knowledge and skills of individuals are fully utilised to meet the needs of the community they serve #weDNs |
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@davidpugh25
25 May 2016 20:08
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@WeDistrictNurse Good practice example here in Bristol we gave a great HCA development programme #WeDNs |
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@dellapowell1
25 May 2016 20:08
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Really important to ascertain the needs of the community and then pop the skill mix in to fit... It won't work the other way around #weDNs |
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@WeCommNurses
25 May 2016 20:09
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Thanks @Helenakelly73 individual community needs very important #WeDNs https://t.co/yn70ueR3Uu |
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@WeNurses
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/rwVrJqH1jF ALL WELCOME |
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@WeSchoolNurses
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/Kn3r9lHHjn ALL WELCOME |
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@WeGPNs
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/xwqUMgoVXj ALL WELCOME |
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@WeDocs
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/b33QKxnT4H ALL WELCOME |
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@WeLDnurses
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/1WroyebqLM ALL WELCOME |
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@WeAHPs
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/795dSw5wvW ALL WELCOME |
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@WeCommissioners
25 May 2016 20:10
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"Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/nmLGicIiga ALL WELCOME |
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@WeCommNurses
25 May 2016 20:10
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RT @davidpugh25: @WeDistrictNurse Good practice example here in Bristol we gave a great HCA development programme #WeDNs |
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@Helenakelly73
25 May 2016 20:10
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@Vicsay11 @WeDistrictNurse recognising limitations is key for patient and staff safety #weDNs |
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@davidpugh25
25 May 2016 20:10
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RT @WeNurses: "Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/rwVrJqH… |
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@WeCommNurses
25 May 2016 20:10
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RT @Gray3Gray: Hi sorry to be late in. Trisha here, skill mix in community vital to sustain workforce development #weDNs |
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@rgumscap
25 May 2016 20:10
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#wedns like to hear more about that David https://t.co/fTGPHZi6jg |
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@WeCommNurses
25 May 2016 20:10
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RT @Helenakelly73: @Vicsay11 @WeDistrictNurse recognising limitations is key for patient and staff safety #weDNs |
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@hardcastle76
25 May 2016 20:11
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RT @WeCommissioners: "Skill mix in the community" tweetchat happening right now with @WeDistrictNurse via #WeDNS prechat here https://t.co/… |
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@PepeClaimEth
25 May 2016 20:11
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Need to structure education and role development for hca's to effectively maximise their potential #weDNs |
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@Gray3Gray
25 May 2016 20:11
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Workforce development needs to plan future establishment and develop roles to support skill mix #weDNs |
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@WeCommNurses
25 May 2016 20:11
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@layla_lani hi don't forget the #WeDNs thanks |
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@hjohnson2411
25 May 2016 20:12
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@WeDistrictNurse does anyone have LD nurses within there teams? If so does this work well? #weDNs |
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@dellapowell1
25 May 2016 20:12
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Its a dynamic process though so good breadth of skill within team essential #weDNs |
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@davidpugh25
25 May 2016 20:12
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@rgumscadn @WeDistrictNurse We have developed a robust 3 wk intensive program covering range of skills which are then ax in practice #weDNs |
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@WeCommNurses
25 May 2016 20:13
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What are the benefits of effective skill mix to patients/relatives and carers? #WeDNs |
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@HeatherBain9
25 May 2016 20:13
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This is so true...caseload profiling does not assess needs of all community #wedns https://twitter.com/dellapowell1/status/735548162086207489 |
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@HeatherBain9
25 May 2016 20:13
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RT @hjohnson2411: @WeDistrictNurse does anyone have LD nurses within there teams? If so does this work well? #weDNs |
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@dellapowell1
25 May 2016 20:13
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Integration is just vital in community nursing #weDNs https://t.co/O6y7Ogjr7v |
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@Helenakelly73
25 May 2016 20:13
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@davidpugh25 @rgumscadn @WeDistrictNurse #weDNs do you have associated competencies David? |
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@WeCommNurses
25 May 2016 20:14
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Interesting question, can anyone expand on this? #WeDNs https://t.co/KHCfph2cAb |
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@davidpugh25
25 May 2016 20:14
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@rgumscadn @WeDistrictNurse Sessions led by specialists within our organisation who also supported dev of competency workbook #wedns |
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@HeatherBain9
25 May 2016 20:14
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RT @WeDistrictNurse: What are the benefits of effective skill mix to patients/relatives and carers? #WeDNs |
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@layla_lani
25 May 2016 20:14
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@WeDistrictNurse apologies! As long as there is a need in the community there is training available to expand upon skills! #WeDNs |
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@WeCommNurses
25 May 2016 20:15
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@angelam02367437 hi ???? don't forget to add the #WeDNs |
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@layla_lani
25 May 2016 20:15
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@dellapowell1 @WeDistrictNurse it certainly is! It has changed our way of working and thus improved patient care! #WeDNs |
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@davidpugh25
25 May 2016 20:15
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@rgumscadn @WeDistrictNurse Then regular assessment in practice to maintain competency #weDNs |
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@WeCommNurses
25 May 2016 20:16
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RT @davidpugh25: @rgumscadn @WeDistrictNurse Then regular assessment in practice to maintain competency #weDNs |
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@WeCommNurses
25 May 2016 20:16
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Thanks for the great examples #WeDNs https://t.co/Fa5twZfwhn |
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@WeCommNurses
25 May 2016 20:16
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@vicsay11 remember #weDns |
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@ColinScales1
25 May 2016 20:16
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Our progressive CCGs and GPs help match skill mix with identified needs within a community. #weDNs @Bridgewater_NHS https://twitter.com/dellapowell1/status/735548162086207489 |
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@Helenakelly73
25 May 2016 20:17
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Patients will get the right care at the right time from the most appropriate member of staff #weDNs |
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@Gray3Gray
25 May 2016 20:17
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Mentor support and guidance required to build staff confidence in practice. #weDNs |
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@Helenakelly73
25 May 2016 20:18
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Therefore more Personcentred #weDNs |
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@Gray3Gray
25 May 2016 20:18
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Transferable skills need to be utilised #weDNs |
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@rgumscap
25 May 2016 20:18
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@layla_lani @WeDistrictNurse remember #weDNs |
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@davidpugh25
25 May 2016 20:19
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@rgumscadn @WeDistrictNurse Its working really well in our teams staff feel valued and patient care enhanced #WeDNs |
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@dellapowell1
25 May 2016 20:19
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@ColinScales1 @Bridgewater_NHS What a great system. Thank you for sharing that #weDNs |
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@HeatherBain9
25 May 2016 20:19
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@Gray3Gray #wedns Have you a process for this |
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@WeCommNurses
25 May 2016 20:19
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How can we work smarter, not harder, for effective skill mix whilst promoting patient safety? #WeDNs |
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@angelam02367437
25 May 2016 20:19
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@Helenakelly73 @WeDistrictNurse @Vicsay11 we need to ensure safe delegation remembering accountability #weDNs |
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@WeCommNurses
25 May 2016 20:20
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RT @angelam02367437: @Helenakelly73 @WeDistrictNurse @Vicsay11 we need to ensure safe delegation remembering accountability #weDNs |
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@WeCommNurses
25 May 2016 20:20
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RT @davidpugh25: @rgumscadn @WeDistrictNurse Its working really well in our teams staff feel valued and patient care enhanced #WeDNs |
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@dellapowell1
25 May 2016 20:20
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RT @Gray3Gray: Transferable skills need to be utilised #weDNs |
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@Helenakelly73
25 May 2016 20:20
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@davidpugh25 @rgumscadn @WeDistrictNurse so important, feeling valued leads to a better workplace culture and sustainability #weDNs |
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@HeatherBain9
25 May 2016 20:21
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RT @angelam02367437: @Helenakelly73 @WeDistrictNurse @Vicsay11 we need to ensure safe delegation remembering accountability #weDNs |
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@HeatherBain9
25 May 2016 20:21
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RT @WeDistrictNurse: How can we work smarter, not harder, for effective skill mix whilst promoting patient safety? #WeDNs |
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@WeCommNurses
25 May 2016 20:21
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Great benefits #WeDNs https://twitter.com/helenakelly73/status/735551112447709184 |
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@dellapowell1
25 May 2016 20:21
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Is there adequate scoping of skills though? Are the calls/caseload allocation truly thought about? #weDNs |
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@davidpugh25
25 May 2016 20:21
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@WeDistrictNurse By ensuring we have the right skill mix underpinned by competency framework in place for all staff within the team #WeDNs |
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@HeatherBain9
25 May 2016 20:22
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@WeDistrictNurse #wedns I think we need to embed technology in our practice and it not be an add on @NRCUK |
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@petervhale
25 May 2016 20:22
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RT @WeDistrictNurse: How can we work smarter, not harder, for effective skill mix whilst promoting patient safety? #WeDNs |
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@Gray3Gray
25 May 2016 20:22
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@HeatherBain9 if staff have evidence if undertaking accredited courses, needs to recognised #weDNs |
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@WeCommNurses
25 May 2016 20:22
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#WeDNs https://t.co/KuMkIXMoxs |
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@ourfolly
25 May 2016 20:22
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@layla_lani @WeDistrictNurse Likewise,as we are now part of an integrated care team we benefit from drawing on other specs. expertise #WeDns |
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@dellapowell1
25 May 2016 20:22
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@layla_lani @WeDistrictNurse @chell1703 That's a beautiful thing #weDNs Just great to hear that ?? |
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@RuthDymock
25 May 2016 20:23
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#WeDNs waving, rather late sorry |
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@layla_lani
25 May 2016 20:23
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@ourfolly @WeDistrictNurse certainly and it avoids multiple phone calls discovering the right service! #WeDns |
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@Helenakelly73
25 May 2016 20:23
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@WeDistrictNurse get to know your team #WeDNs their strengths, skills and limitations plan together |
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@davidpugh25
25 May 2016 20:23
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RT @HeatherBain9: @WeDistrictNurse #wedns I think we need to embed technology in our practice and it not be an add on @NRCUK |
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@WeCommNurses
25 May 2016 20:23
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What are everyone's thoughts on this? #WeDNs https://twitter.com/heatherbain9/status/735551541994782720 |
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@davidpugh25
25 May 2016 20:24
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RT @Helenakelly73: @WeDistrictNurse get to know your team #WeDNs their strengths, skills and limitations plan together |
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@angelam02367437
25 May 2016 20:24
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@WeDistrictNurse in the community I believe Hubs are will be the future with a range of skills brought together to meet patient need #weDNs |
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@rgumscap
25 May 2016 20:24
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#wedns this is done well in some areas @NHSWI https://twitter.com/heatherbain9/status/735551541994782720 |
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@Gray3Gray
25 May 2016 20:24
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@davidpugh25 @rgumscadn @WeDistrictNurse yes we have done this too. Supports confidence building #weDNs |
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@NRCUK
25 May 2016 20:24
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I know you are right! Have heard 3 cases of "miss sold EPRs this week" - more like miss bought - get involved #WeDNs https://twitter.com/HeatherBain9/status/735551541994782720 |
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@dellapowell1
25 May 2016 20:24
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In a nutshell... There it is ??summed up nicely #weDNs https://twitter.com/helenakelly73/status/735551891623534594 |
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@davidpugh25
25 May 2016 20:25
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@WeDistrictNurse @HeatherBain9 @NRCUK Absolutely crucial on so many levels #weDNs |
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@WeCommNurses
25 May 2016 20:25
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Team involvement? #WeDNs https://twitter.com/helenakelly73/status/735551891623534594 |
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@Gray3Gray
25 May 2016 20:25
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@davidpugh25 @WeDistrictNurse and revisiting competencies to ensure they are up to date! #weDNs |
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@NRCUK
25 May 2016 20:25
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EVIDENCE EVIDENCE EVIDENCE #theEND :) #WeDNs https://twitter.com/WeDistrictNurse/status/735550957380067329 |
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@S411Y100
25 May 2016 20:26
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#WeDNS hello. excellent joint work with fab and confident and listening DN for my patient with Learning Disability. I am C/N for LD |
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@WeCommNurses
25 May 2016 20:26
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Please don't forget to add #WeDNs to capture the chat ?? |
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@ourfolly
25 May 2016 20:27
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@layla_lani @WeDistrictNurse Quite right - knowing your ICT colleagues implements a varied but generally appropriate plan of care #weDNs |
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@WeCommNurses
25 May 2016 20:27
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#WeDNs https://twitter.com/annhoey7/status/735552495657848832 |
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@Helenakelly73
25 May 2016 20:27
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@dellapowell1 @WeDistrictNurse #WeDNs that's why Specialist Practitioner District nurses are essential to lead teams in the community |
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@NRCUK
25 May 2016 20:27
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Don't settle for re hashed tech from acute or GPs either ... community care is operationally so different right skill/place/time #WeDNs |
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@davidpugh25
25 May 2016 20:27
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RT @Helenakelly73: @dellapowell1 @WeDistrictNurse #WeDNs that's why Specialist Practitioner District nurses are essential to lead teams in… |
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@dellapowell1
25 May 2016 20:27
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@WeDistrictNurse @HeatherBain9 @NRCUK we feel its an add on &unimportant cos its not http://explained.Tech fab but needs embedding #weDNs |
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@HeatherBain9
25 May 2016 20:27
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RT @WeDistrictNurse: Please don't forget to add #WeDNs to capture the chat ?? |
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@WeCommNurses
25 May 2016 20:27
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RT @davidpugh25: @WeDistrictNurse @HeatherBain9 @NRCUK Absolutely crucial on so many levels #weDNs |
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@Helenakelly73
25 May 2016 20:28
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@WeDistrictNurse #WeDNs absolutely empower and motivate teams to identify best use of skill mix together don't you think? |
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@ourfolly
25 May 2016 20:28
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RT @dellapowell1: In a nutshell... There it is ??summed up nicely #weDNs https://twitter.com/helenakelly73/status/735551891623534594 |
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@dellapowell1
25 May 2016 20:29
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@NRCUK Totally. Needs to be relevant tech. Not making other roles easier but having impact on patient care. #weDNs |
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@S411Y100
25 May 2016 20:29
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#WeDNS complex needs. Share the knowledge and expertise between disciplines #weLDNs |
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@WeCommNurses
25 May 2016 20:29
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#weDNs what technology is being used for skill mix https://twitter.com/AnnHoey7/status/735553024408440836 |
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@Gray3Gray
25 May 2016 20:29
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@WeDistrictNurse support staff to get the required skills according to the needs of the patient caseload #weDNs |
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@Gray3Gray
25 May 2016 20:30
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RT @Helenakelly73: @dellapowell1 @WeDistrictNurse #WeDNs that's why Specialist Practitioner District nurses are essential to lead teams in… |
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@davidpugh25
25 May 2016 20:30
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RT @Gray3Gray: @WeDistrictNurse support staff to get the required skills according to the needs of the patient caseload #weDNs |
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@Helenakelly73
25 May 2016 20:31
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@AnnHoey7 use the #weDNs Ann |
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@NRCUK
25 May 2016 20:31
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there are some brave enough to listen to the need and brave enough to support this @dellapowell1 talk to @TheQNI very knowledgable #weDNs |
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@WeCommNurses
25 May 2016 20:31
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What workforce planning measures are in place to assist with concerns re: decreasing nums of DNs with SPQ #WeDNs https://twitter.com/helenakelly73/status/735552879973552128 |
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@HeatherBain9
25 May 2016 20:31
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RT @WeDistrictNurse: What workforce planning measures are in place to assist with concerns re: decreasing nums of DNs with SPQ #WeDNs https… |
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@ADNEuk
25 May 2016 20:31
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RT @WeDistrictNurse: What workforce planning measures are in place to assist with concerns re: decreasing nums of DNs with SPQ #WeDNs https… |
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@rgumscap
25 May 2016 20:31
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RT @WeDistrictNurse: What workforce planning measures are in place to assist with concerns re: decreasing nums of DNs with SPQ #WeDNs https… |
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@WeCommNurses
25 May 2016 20:31
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RT @Gray3Gray: @WeDistrictNurse support staff to get the required skills according to the needs of the patient caseload #weDNs |
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@NRCUK
25 May 2016 20:32
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on a final note - don't be obsessed with clinical system integration, if it doesn't do what you need you need to do something else #weDNs |
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@davidpugh25
25 May 2016 20:32
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@WeDistrictNurse @Helenakelly73 @dellapowell1 Again we have increased our numbers over the last few years to meet the growing demand #WeDNs |
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@Gray3Gray
25 May 2016 20:34
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@WeDistrictNurse staff nurse development posts mentored by SPQ DN and dedicated time with CPEs #weDNs |
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@RuthDymock
25 May 2016 20:34
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@WeDistrictNurse @HeatherBain9 @NRCUK #weDNs Don't see any alternative. Question is how it can work best 4 patients not just audit |
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@RuthDymock
25 May 2016 20:34
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Sorry, connection keeps dropping ... Will lurk #weDNs |
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@CrystalOldman
25 May 2016 20:34
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@WeNurses @WeDistrictNurse #weDNs on train again so late 2 chat. NHSI have workstream on safe caseloads focused on guidance. Might help. |
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@WeCommNurses
25 May 2016 20:34
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RT @CrystalOldman: @WeNurses @WeDistrictNurse #weDNs on train again so late 2 chat. NHSI have workstream on safe caseloads focused on guida… |
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@Helenakelly73
25 May 2016 20:34
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@WeDistrictNurse @dellapowell1 #weDNs would definitely welcome more! |
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@davidpugh25
25 May 2016 20:35
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RT @CrystalOldman: @WeNurses @WeDistrictNurse #weDNs on train again so late 2 chat. NHSI have workstream on safe caseloads focused on guida… |
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@rgumscap
25 May 2016 20:35
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RT @CrystalOldman: @WeNurses @WeDistrictNurse #weDNs on train again so late 2 chat. NHSI have workstream on safe caseloads focused on guida… |
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@WeCommNurses
25 May 2016 20:35
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@CrystalOldman hi thanks for sharing that, worth a look #WeDNs https://t.co/FNlu5hvhHf |
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@ourfolly
25 May 2016 20:36
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RT @CrystalOldman: @WeNurses @WeDistrictNurse #weDNs on train again so late 2 chat. NHSI have workstream on safe caseloads focused on guida… |
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@HeatherBain9
25 May 2016 20:36
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RT @CrystalOldman: @WeNurses @WeDistrictNurse #weDNs on train again so late 2 chat. NHSI have workstream on safe caseloads focused on guida… |
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@dellapowell1
25 May 2016 20:36
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@davidpugh25 @WeDistrictNurse @Helenakelly73 Fewer DNs in my experience, really competitive and entry goes on time served not passion #weDNs |
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@WeCommNurses
25 May 2016 20:36
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Are there other areas doing this? #WeDNs https://twitter.com/gray3gray/status/735554597864022016 |
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@HeatherBain9
25 May 2016 20:36
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Interested who is using the Cassandra model #wedns |
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@karan_massey
25 May 2016 20:36
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RT @Helenakelly73: @dellapowell1 @WeDistrictNurse #WeDNs that's why Specialist Practitioner District nurses are essential to lead teams in… |
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@RachelDoubleday
25 May 2016 20:36
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#weDNs sorry late too but wanted to join as so important |
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@Lynn_Pantling
25 May 2016 20:37
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Lurking #WeDNs |
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@WeCommNurses
25 May 2016 20:37
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RT @Helenakelly73: @WeDistrictNurse @dellapowell1 #weDNs would definitely welcome more! |
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@davidpugh25
25 May 2016 20:37
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@dellapowell1 @WeDistrictNurse @Helenakelly73 Not in the interviews I will be completing ?????? there has to be passion #WeDNs |
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@Helenakelly73
25 May 2016 20:37
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@Gray3Gray @WeDistrictNurse #WeDNs really worrying particularly with policy driving more care into the community |
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@WeCommNurses
25 May 2016 20:37
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RT @HeatherBain9: Interested who is using the Cassandra model #wedns |
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@HeatherBain9
25 May 2016 20:38
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Some good work in @NHSGrampian supporting newly qualified in the community @junebrown116 #wedns https://twitter.com/wedistrictnurse/status/735555167173652480 |
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@WeCommNurses
25 May 2016 20:38
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RT @Helenakelly73: @Gray3Gray @WeDistrictNurse #WeDNs really worrying particularly with policy driving more care into the community |
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@RachelDoubleday
25 May 2016 20:38
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did I miss any discussion about the Carter report? notice omission of tool to measure community nurse staffing levels? #WeDNs |
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@WeCommNurses
25 May 2016 20:38
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@davidpugh25 @dellapowell1 @Helenakelly73 great to hear! #WeDNs |
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@WeCommNurses
25 May 2016 20:39
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RT @HeatherBain9: Some good work in @NHSGrampian supporting newly qualified in the community @junebrown116 #wedns https://twitter.com/wedistrictnurse/status/735555167173652480 |
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@davidpugh25
25 May 2016 20:39
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RT @WeDistrictNurse: @davidpugh25 @dellapowell1 @Helenakelly73 great to hear! #WeDNs |
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@HeatherBain9
25 May 2016 20:39
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@RachelDoubleday #wedns no discussion as yet re that, have you an opinion |
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@WeCommNurses
25 May 2016 20:39
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Would like to hear more about this please #WeDNs https://twitter.com/vikkiamorris/status/735555547081146370 |
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@dellapowell1
25 May 2016 20:40
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@davidpugh25 @WeDistrictNurse @Helenakelly73 #passionchangeseverything #weDNs |
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@davidpugh25
25 May 2016 20:40
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RT @dellapowell1: @davidpugh25 @WeDistrictNurse @Helenakelly73 #passionchangeseverything #weDNs |
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@dellapowell1
25 May 2016 20:41
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@davidpugh25 @WeDistrictNurse @Helenakelly73 pleased to hear it ?? can't teach passion #weDNs |
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@davidpugh25
25 May 2016 20:41
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RT @dellapowell1: @davidpugh25 @WeDistrictNurse @Helenakelly73 pleased to hear it ?? can't teach passion #weDNs |
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@WeNurses
25 May 2016 20:41
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hope you are enjoying #WeDNS @dellapowell1 interesting looking chat! |
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@WeCommNurses
25 May 2016 20:41
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Interesting knowledge and expertise essential to promote patient safety? #WeDNs https://twitter.com/susanerobertson/status/735556040125775872 |
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@RachelDoubleday
25 May 2016 20:41
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@WeDistrictNurse @davidpugh25 @dellapowell1 @Helenakelly73 YES! passion essential. #WeDNs 20 SPQ in 2016 @TeesUniSOHSC great support locally |
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@WeCommNurses
25 May 2016 20:41
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@VikkiAMorris @annefinney1 @Bridgewater_NHS @WWLNHS @WiganCouncil thanks #WeDNs |
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@davidpugh25
25 May 2016 20:42
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RT @RachelDoubleday: @WeDistrictNurse @davidpugh25 @dellapowell1 @Helenakelly73 YES! passion essential. #WeDNs 20 SPQ in 2016 @TeesUniSOHSC… |
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@WeCommNurses
25 May 2016 20:42
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#WeDNs https://twitter.com/vikkiamorris/status/735556399980269570 |
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@Gray3Gray
25 May 2016 20:42
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@Helenakelly73 @WeDistrictNurse more reason to think differently and support out staff to blossom! #weDNs |
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@dellapowell1
25 May 2016 20:42
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@susanerobertson @davidpugh25 @WeDistrictNurse @Helenakelly73 Totally... Seniority based in time seven not on ability or passion #weDNs |
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@PepeClaimEth
25 May 2016 20:42
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@WeDistrictNurse different systems that fail to communicate with each other e.g CNIS DN's /emis gp's / clinical portal / sci gateway #weDNs |
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@mikebarker2
25 May 2016 20:43
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RT @WeDistrictNurse: Would like to hear more about this please #WeDNs https://twitter.com/vikkiamorris/status/735555547081146370 |
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@WeCommNurses
25 May 2016 20:43
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Very reassuring numbers, the DNs of the future #WeDNs https://twitter.com/racheldoubleday/status/735556505840320513 |
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@WeCommNurses
25 May 2016 20:43
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RT @dellapowell1: @davidpugh25 @WeDistrictNurse @Helenakelly73 #passionchangeseverything #weDNs |
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@RachelDoubleday
25 May 2016 20:43
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@HeatherBain9 personal opinion- need more accurate metrics about DN work generally incl staffing levels but Carter tool not right #WeDNS |
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@RuthDymock
25 May 2016 20:44
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#WeDNs worried too about abusing staff nurse role -temptation 2 use them & hcsw in similar task orientation & 4get trained role is to assess |
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@Gray3Gray
25 May 2016 20:44
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@VikkiAMorris @CrystalOldman @WeDistrictNurse @annefinney1 @Bridgewater_NHS @WWLNHS @WiganCouncil would love to know more! #weDNs |
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@CrystalOldman
25 May 2016 20:44
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@VikkiAMorris @WeDistrictNurse @annefinney1 @Bridgewater_NHS @WWLNHS @WiganCouncil @kirby_esther #weDNs thank you ?? |
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@NRCUK
25 May 2016 20:45
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many providers of EPRs @AnnHoey7 @WeDistrictNurse openly admit that capacity, demand, skill gap analysis is simply not their focus #weDNs |
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@RachelDoubleday
25 May 2016 20:45
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@CrystalOldman @RMayNurseDir very interesting to see how this can be adapted as know @TheQNI committed to developing workload tool #WeDNS |
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@CrystalOldman
25 May 2016 20:46
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@RachelDoubleday @WeDistrictNurse @davidpugh25 @dellapowell1 @Helenakelly73 @TeesUniSOHSC #weDNs and from 2017? No HEE funding of SPQ. |
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@WeCommNurses
25 May 2016 20:46
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RT @RuthDymock: #WeDNs worried too about abusing staff nurse role -temptation 2 use them & hcsw in similar task orientation & 4get trained… |
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@davidpugh25
25 May 2016 20:47
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@HlhatterHelen @WeDistrictNurse @rgumscadn @MVBKirk It is busy but its recognised as extremely important for both staff and patients #WeDNs |
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@WeCommNurses
25 May 2016 20:47
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RT @CrystalOldman: @RachelDoubleday @WeDistrictNurse @davidpugh25 @dellapowell1 @Helenakelly73 @TeesUniSOHSC #weDNs and from 2017? No HEE f… |
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@RachelDoubleday
25 May 2016 20:47
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@WeDistrictNurse yes and @SouthTees has worked very hard with @TeesUniSOHSC to get last minute funding for 2016-17 for SPQ #WeDNs TY! |
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@WeCommNurses
25 May 2016 20:47
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tut tut #weDns https://twitter.com/HeatherBain9/status/735557105365733376 |
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@NRCUK
25 May 2016 20:47
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Was the skill mix evidenced based, when you have poor efficiency more doesn't always mean better #WeDNs https://twitter.com/davidpugh25/status/735554252735680513 |
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@Comm_NursesGlos
25 May 2016 20:47
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RT @WeDistrictNurse: What workforce planning measures are in place to assist with concerns re: decreasing nums of DNs with SPQ #WeDNs https… |
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@Gray3Gray
25 May 2016 20:47
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RT @CrystalOldman: @RachelDoubleday @WeDistrictNurse @davidpugh25 @dellapowell1 @Helenakelly73 @TeesUniSOHSC #weDNs and from 2017? No HEE f… |
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@PepeClaimEth
25 May 2016 20:48
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@Helenakelly73 sorry Helena ?? still learning the tweeting ropes #weDNs |
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@CrystalOldman
25 May 2016 20:49
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@NRCUK @davidpugh25 @WeDistrictNurse @Helenakelly73 @dellapowell1 #weDNs suppose you have reached optimum efficiency? |
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@dellapowell1
25 May 2016 20:49
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@AnnHoey7 @Helenakelly73 You're doing a grand job ????#weDNs |
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@WeCommNurses
25 May 2016 20:49
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What leadership qualities are required to promote right nurse, right skill at right time aim for effective skill mix? #WeDNs |
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@HeatherBain9
25 May 2016 20:49
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#wedns the challenge is cost/benefit analysis. We need to be realistic but evidence based https://twitter.com/nrcuk/status/735558000967057409 |
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@RuthDymock
25 May 2016 20:49
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@WeDistrictNurse @RachelDoubleday @davidpugh25 @dellapowell1 @Helenakelly73 @TeesUniSOHSC but so slow ! #weDNs |
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@Helenakelly73
25 May 2016 20:50
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@CrystalOldman @RachelDoubleday @WeDistrictNurse @davidpugh25 @dellapowell1 @TeesUniSOHSC #WeDNs struggling with this such an important role |
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@NRCUK
25 May 2016 20:50
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lol @CrystalOldman @davidpugh25 @WeDistrictNurse @Helenakelly73 @dellapowell1 #WeDNs |
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@Helenakelly73
25 May 2016 20:51
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@WeDistrictNurse #WeDNs really knowing your team, valuing each member, empowering and not |
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@WeCommNurses
25 May 2016 20:51
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#WeDNs https://twitter.com/comm_nursesglos/status/735558825395228672 |
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@davidpugh25
25 May 2016 20:51
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@NRCUK @WeDistrictNurse @Helenakelly73 @dellapowell1 Agree importance of evidence but already know we need more qualified DNs #WeDNs |
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@NRCUK
25 May 2016 20:51
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the challenge @HeatherBain9 is having robust evidence that is current to evaluate where you are now to validate investment impact #WeDNs |
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@CrystalOldman
25 May 2016 20:52
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@WeDistrictNurse @RachelDoubleday @davidpugh25 @dellapowell1 @Helenakelly73 @TeesUniSOHSC #weDNs what will happen in 2017 & no HEE funding? |
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@rgumscap
25 May 2016 20:52
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RT @HeatherBain9: #wedns the challenge is cost/benefit analysis. We need to be realistic but evidence based https://twitter.com/nrcuk/status/735558000967057409 |
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@AngelaWale2
25 May 2016 20:52
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RT @NRCUK: Was the skill mix evidenced based, when you have poor efficiency more doesn't always mean better #WeDNs https://twitter.com/davidpugh25/status/735554252735680513 |
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@susanerobertson
25 May 2016 20:52
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@WeDistrictNurse Transparency, role modelling & to develop staff in their own leadership abilities. &buckets of positive attitude ;) #weDNs |
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@Helenakelly73
25 May 2016 20:52
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@WeDistrictNurse #WeDNs really knowing your team, valuing each member, empowering and motivating them, allowing them to flourish |
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@WeNurses
25 May 2016 20:53
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won't argue with that @davidpugh25 @WeDistrictNurse @Helenakelly73 @dellapowell1 :) #WeDNs |
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@WeCommNurses
25 May 2016 20:53
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Wow! #WeDNs https://t.co/mlwhayD0Tw |
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@dellapowell1
25 May 2016 20:53
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Leaders who can see strengths in their team without feeling threatened.Its about sending who is right not whos senior.CONFIDENCE2lead #weDNs |
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@CrystalOldman
25 May 2016 20:53
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@davidpugh25 @NRCUK @WeDistrictNurse @Helenakelly73 @dellapowell1 #weDNs @TheQNI published evidence based rpt Value of SPQ DN 2016 |
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@WeCommNurses
25 May 2016 20:53
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Thank you #WeDNs https://t.co/3K2udMwTuh |
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@davidpugh25
25 May 2016 20:53
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RT @WeDistrictNurse: Wow! #WeDNs https://t.co/mlwhayD0Tw |
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@NRCUK
25 May 2016 20:54
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won't argue with that @davidpugh25 @WeDistrictNurse @Helenakelly73 @dellapowell1 :) #WeDNs (from right account!!!) |
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@davidpugh25
25 May 2016 20:54
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RT @CrystalOldman: @davidpugh25 @NRCUK @WeDistrictNurse @Helenakelly73 @dellapowell1 #weDNs @TheQNI published evidence based rpt Value of S… |
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@davidpugh25
25 May 2016 20:54
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RT @WeDistrictNurse: Thank you #WeDNs https://t.co/3K2udMwTuh |
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@WeCommNurses
25 May 2016 20:54
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RT @CrystalOldman: @davidpugh25 @NRCUK @WeDistrictNurse @Helenakelly73 @dellapowell1 #weDNs @TheQNI published evidence based rpt Value of S… |
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@Helenakelly73
25 May 2016 20:54
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@AnnHoey7 #WeDNs so glad your joining in! I forget all the time! |
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@rgumscap
25 May 2016 20:54
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#wedns negotiation, role modelling, collaboration, vision? https://t.co/moCaeJv1RM |
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@davidpugh25
25 May 2016 20:54
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RT @NRCUK: won't argue with that @davidpugh25 @WeDistrictNurse @Helenakelly73 @dellapowell1 :) #WeDNs (from right account!!!) |
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@CrystalOldman
25 May 2016 20:54
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@Comm_NursesGlos @WeDistrictNurse #weDNs how will DN SPQ workforce grow after 2017? |
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@WeCommNurses
25 May 2016 20:55
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@NRCUK @davidpugh25 @Helenakelly73 @dellapowell1 lol #WeDNs |
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@susanerobertson
25 May 2016 20:55
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@Helenakelly73 @WeDistrictNurse Can't care for others if you don't support and care for each other #wedns |
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@WeCommNurses
25 May 2016 20:55
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RT @susanerobertson: @Helenakelly73 @WeDistrictNurse Can't care for others if you don't support and care for each other #wedns |
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@WeCommNurses
25 May 2016 20:55
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RT @CrystalOldman: @Comm_NursesGlos @WeDistrictNurse #weDNs how will DN SPQ workforce grow after 2017? |
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@WeCommNurses
25 May 2016 20:56
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Great question #WeDNs ??another chat for this topic #WeDNs https://twitter.com/crystaloldman/status/735559722577874945 |
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@Helenakelly73
25 May 2016 20:57
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@CrystalOldman @Comm_NursesGlos @WeDistrictNurse #weDNs in Scotland health boards still fund, just interviewed for 17 SPDN places |
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@dellapowell1
25 May 2016 20:57
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RT @WeDistrictNurse: Thank you #WeDNs https://twitter.com/helenakelly73/status/735559213762678786 |
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@WeCommNurses
25 May 2016 20:57
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RT @Helenakelly73: @CrystalOldman @Comm_NursesGlos @WeDistrictNurse #weDNs in Scotland health boards still fund, just interviewed for 17 SP… |
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@susanerobertson
25 May 2016 20:57
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Very frustrated with short term SPQ training goals, especially when all policy looks at 2020 and beyond. #WeDNs |
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@dellapowell1
25 May 2016 20:57
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RT @WeDistrictNurse: Wow! #WeDNs https://twitter.com/susanerobertson/status/735559196586999808 |
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@HeatherBain9
25 May 2016 20:57
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RT @Helenakelly73: @CrystalOldman @Comm_NursesGlos @WeDistrictNurse #weDNs in Scotland health boards still fund, just interviewed for 17 SP… |
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@Helenakelly73
25 May 2016 20:57
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Very important point Susan #weDNs https://twitter.com/susanerobertson/status/735559862248148992 |
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@Helenakelly73
25 May 2016 20:58
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@WeDistrictNurse @CrystalOldman @Comm_NursesGlos #weDNs absolutely raise our profile and our voices together |
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@WeCommNurses
25 May 2016 20:58
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Wow, that hour went so quickly! Thank you all for the thought provoking tweets, great input! Lots to think about...#WeDNs |
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@NRCUK
25 May 2016 20:58
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Going to have to read though #WeDNs post chat info.... passionate bunch, under pressure, be the change :) |
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@davidpugh25
25 May 2016 20:58
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@Gray3Gray @WeDistrictNurse Yes and we have but well led, motivated, competent teams I believe need DNs with SPQ and enough of them #WeDNs |
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@WeCommNurses
25 May 2016 20:58
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RT @Helenakelly73: @WeDistrictNurse @CrystalOldman @Comm_NursesGlos #weDNs absolutely raise our profile and our voices together |
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@HeatherBain9
25 May 2016 20:59
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Thanks @rebecca_wright2 for hosting tonight #wedns |
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@AFTaylorDN
25 May 2016 20:59
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@NRCUK #WeDNs I agree; need tech that will deal with complexity of DN/community work but talks to other systems... |
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@CandacePlouffe
25 May 2016 20:59
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@WeDistrictNurse Community nurses naturally want to do this, good leaders create the headspace and support for them to do so #weDNs |
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@JillYGld
25 May 2016 20:59
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RT @CrystalOldman: @Comm_NursesGlos @WeDistrictNurse #weDNs how will DN SPQ workforce grow after 2017? |
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@JillYGld
25 May 2016 20:59
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RT @WeDistrictNurse: Great question #WeDNs ??another chat for this topic #WeDNs https://twitter.com/crystaloldman/status/735559722577874945 |
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@susanerobertson
25 May 2016 20:59
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@WeDistrictNurse Sorry for being late, but thanks! Always interesting #wedns |
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@dellapowell1
25 May 2016 20:59
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RT @Helenakelly73: @WeDistrictNurse @CrystalOldman @Comm_NursesGlos #weDNs absolutely raise our profile and our voices together |
Stats
Total contributers:
38
Total tweets:
235
Total reach:
1,495,717
