The honeymoon is over!

​Well the honeymoon is well and truly over. Working at such pace to achieve our action areas of the community nursing plan before the end of the month. I’m working in the last 20 days of this amazing fellowship-building networks and systems with the other fellows . Their action areas all equally important - health economics, population health management, integration, celebrating community nursing , research and mine and my buddy Helen’s area of driving digital and data. 

DATA … this really has been a challenge, trying to gather the community service data set intelligence, understanding where and what we do with it. My experience of secondary care data sets seem clear, with fast turn around of inputs and outputs compared to the difficulty in so many different systems gathering this information, the difficulty in intraoprability. Work to be done and is being done around this but definitely “doable”. 

The conversations are flowing with leads in NHS digital boards and steering groups supporting and engaging but most importantly listening to the voices of  community nursing. My personal observation throughout this experience has been the lack of the nurse voice . Pathways, policies , system sets without equal numbers of nurses being engaged . This is beginning to change but there is more work to do. Top of the nursing directorate agenda that’s for sure ! 

There has been tremendous engagement through social media with all action areas running a “twitter chat” weekly for the past few weeks. Fabulous feed back, engagement, scoping and connecting. Not without its own issues, politics and challenges - but hey! All part of learning - we fall down, we get back up , dust down and continue. There will always be clashes of values but being true to myself can only be a positive value in my opinion. As a senior nurse working in this astonishing nursing directorate with a number of incredibly strong females leaders who are role models for us all to learn from. One shared vision with shared values. My regional nurse director has been incredibly supportive and when I have had a “doubt” Julie has been that calm thoughtful constant to guide me and encourage me.Thankyou 

I believe I have learned, developed and succeeded in so much in such a short intense period of time that will continue to grow long after this secondment. 

One of my personal successes is the further role out of the delegation of insulin administration- It has been a privilege to support CCGs across England to implement this framework locally - more work to do but we are certainly getting there and all this whilst still in level 4! 

So in the next couple of weeks - there is so much to do and more to see and share … who know what the next chapter will bring 🥰. 

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