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RCN briefings

Policy briefings, parliamentary briefings and consultation responses on the issues that matter to nursing staff

The RCN works with government, think tanks and other stakeholders to ensure the voice of nursing is heard. You can get involved in policy development by taking part in surveys, workshops, seminars and briefings.

  • 1 Oct 2009

    Dealing with Knife Injuries

    Many nurses are unaware of their rights and obligations concerning the reporting of knife enabled crime to the police. With reference to recent changes to guidance given to doctors by the General Medical Council, and in response to nurses concerns, this updated document explains some of the medico-legal, ethical and professional issues behind disclosing information and looks at the importance of the nursing role in several innovative schemes designed to tackle the problem of knife crime.

  • 22 Jul 2009

    Nursing and Payment by Results

    NHS England has been reimbursing providers for acute care using an activity based casemix payment system called Payment by Results (PbR) since 2003. PbR uses Healthcare Resource Groups (HRGs) as a means of classifying patients' treatment episodes for reimbursement. They are developed by clinical working groups from national data and are designed to group together episodes that are clinically coherent and consume similar amounts of resource.

  • 15 Jul 2009

    Social enterprise in 2009

    This briefing provides a background to social enterprise and an overview of the right to request policy.

  • 25 Jun 2009

    The regulatory landscape in health and social care in England in 2009

    This briefing sets out the range and scope of 'regulators' in the health and social care sector in England. Its aim is to outline who does what in regulating, inspecting, auditing and contributing to setting standards in health and social care in the new regulatory landscape.

  • 11 May 2009

    NHS expenditure on external consultants

    In the budget for 2009, it was announced that the Department of Health will be contributing £2.3 billion in additional savings to the overall reduction in Government expenditure and borrowing. Health Secretary at the time, Alan Johnson, said:"Better quality, safe health care goes hand in hand with better value for money" and NHS Chief Executive David Nicholls has written to the NHS stating that "the value-for-money challenge will be met through delivering on our quality agenda, not instead of it." However, several reports are already suggesting that there will inevitably be cuts in frontline services, training budgets, and investment in new facilities. The RCN is constantly alerted to the impact of external financial factors on patient care in the NHS. In order to better understand how the NHS was using its resources in these uncertain economic times, the RCN wrote to over 550 NHS organisations across the UK under the Freedom of Information Act and asked for a breakdown of their expenditure on external consultants.

  • 8 May 2009

    The assistant practitioner role

    This document considers some of the key policy issues regarding the emergence of the role of the assistant practitioner in health care. They are: the remit and purpose of the role; reasons for the introduction of this role; the role in the wider health care workforce context including workforce numbers, nursing workload and the deployment of registered nurses. The nursing profession must hold a robust debate on all the above because the assistant practitioner role must be linked to a vision for both the future configuration of the nursing workforce, and the future function and contribution of nursing to health care within that.

  • 16 Apr 2009

    A short guide to World Class Commissioning

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  • 1 Apr 2009

    Looking back to look forward

    This briefing provides a rapid review of the lessons from published reports on health and social care system regulation. The aim is to summarise the key lessons, particularly relevant as a new integrated regulator begins its work on 1 April 2009, replacing the previous commissions. It also sets out what the RCN view is on system regulation, and what the RCN wishes to see as key priorities for the coming years. The RCN recognises that 2009-10 is a year of unprecedented change, but from 2010-11 onwards believes that there is a real opportunity to learn from the change experience to improve health and social care for the benefit of patients, carers, staff and the public at large.

  • 16 Jan 2009

    Assisted suicide

    The purpose of this briefing is to provide members with a background to key issues relating to assisted suicide, so as to inform member responses to an RCN consultation (which ran from 16 February until May 22 2009). It details the current legal and parliamentary positions with respect to assisted suicide, which vary between the four UK countries, and also lists current arguments both for and against assisted suicide and potential issues relating to nursing practice.

  • 15 Jan 2009

    Intergrated care pilots

    The Government regards integration as one remedy for the fragmentation of services, which has been identified as a barrier to providing more effective and personalised care. The purpose of the above briefing is to outline how the Government is taking forward its integrated care agenda through the development of a number of integrated care pilots and to obtain feedback from members on the development of these pilots.