In this first of a two-part series exploring leadership in general practice, Jaqui Walker, general practice nurse/advanced nurse practitioner, Falkirk, Scotland, looks at the context for leadership in general practice nursing, our role as leaders, and perceived barriers to nurses fully utilising their leadership potential in the general practice setting. Part two will explore why we should lead, who can lead, leadership styles and behaviours for ANP/GPNs and how to develop leaders.
Quality improvement is a necessary exercise for any developing organisation. With the changes currently taking place in the NHS, particularly the relocation of services from secondary care to primary care, it is vital that general practice nurses (GPNs) are able to review and make improvements to their practice. This article reviews the policies that are changing the landscape of primary care, examines the benefits of quality improvement initiatives and provides an exemplar of an effective quality improvement training programme. The author argues that the NHS cannot meet the healthcare needs of the population without a sustained and comprehensive commitment to effective quality improvement as its principal strategy.
The ‘General Practice Nursing – Leadership for Quality’ (GPNLQ) programme was developed by Judi Thorley and Sally Rogers (both chief nurses and directors of quality and safeguarding at NHS South Cheshire and NHS Vale Royal clinical commissioning groups [CCGs] and NHS Eastern Cheshire CCG respectively), after local discussions within their CCGs around the need for further support and learning opportunities for general practice nurses (GPNs).
They felt that GPNs were unintentionally professionally isolated, and had to work in a climate that did not support personal development, with some GPNs not being released for clinical training, let alone training for personal development in an area as ‘non-clinical’ as leadership.
Judi and Sally invested a significant amount of their own time in scoping out the programme, planning and, indeed, delivering the training. They also networked assiduously and gained the support of key individuals promoting the role of GPNs on the national stage.