Visit by UK regulators of mutual benefit.
Subject: Practical nurses (Practice)
Practical nurses (International aspects)
Nursing associations (Powers and duties)
Pub Date: 08/01/2011
Publication: Name: Kai Tiaki: Nursing New Zealand Publisher: New Zealand Nurses' Organisation Audience: Trade Format: Magazine/Journal Subject: Health; Health care industry Copyright: COPYRIGHT 2011 New Zealand Nurses' Organisation ISSN: 1173-2032
Issue: Date: August, 2011 Source Volume: 17 Source Issue: 7
Topic: Event Code: 200 Management dynamics
Product: Product Code: 8043120 Nurses, Practical NAICS Code: 621399 Offices of All Other Miscellaneous Health Practitioners
Organization: Organization: Nursing and Midwifery Council
Geographic: Geographic Scope: New Zealand Geographic Code: 8NEWZ New Zealand
Accession Number: 266344834
Full Text: The visit by three leaders of the United Kingdom's Nursing and Midwifery Council (NMC) to New Zealand last month to find out more about the extended scope of enrolled nurse (EN) practice, was a great success.

"They gained a great deal from the visit and we did too," Nursing Council chief executive Carolyn Reed said. "While the focus was on the NMC Leaders Looking at how the EN works in our system, there were other benefits including exchanging best practice and exploring ways of working together. In some ways, regulation is quite lonely so it was great to be able to benchmark ourselves against others, to look at how another regulatory body does things and see if we can improve how we do things."

History of extended scope

The NMC chief executive and registrar Dickon Weir-Hughes, chair Tony Hazell and director of education Rita Newland were accompanied by the Royal College of Nursing's head of policy and international, Howard Catton.

The first day of the two-day visit was spent with the Nursing Council's senior management team, along with NZNO chief executive Geoff Annals and chief nurse Jane O'Malley. Annals and O'Malley discussed the history and controversy surrounding the development of a new, extended EN scope of practice and education programme here. Annals said it quickly became clear the delegation was in New Zealand to find out how to reintroduce ENs, not whether or not they should be reintroduced; the "should" had been settled. The NMC leaders said there was both support and resistance to the reintroduction of ENs in the UK.


The second day was devoted to ENs and registered nurses (RN) who work together. "The NMC delegation wanted to talk with ENs and RNs who work together. There were four ENs, from a variety of practice settings, and the RNs who worked with them. The ENs were stunning. They were very articulate, very clear about their scope of practice, proud of their contribution to people's health and knew their boundaries and accountabilities," Reed said. "They showcased enrolled nursing at its best. The NMC representatives were bowled over. The ENs' clarity about their accountability greatly impressed them."

Chair of NZNO's national EN section Robyn Hewlett said the exchange had been very valuable. "I suggested the NMC look at aligning its programme closely with New Zealand and Australian programmes so ENs from New Zealand, Australia and the UK can work in all countries. I also emphasised the open relationship we now have with the Nursing Council here and how the Council kept us informed during its consultation with district health boards (DHB), the private sector and the education sector about the extended scope."

Capital and Coast DHB representatives also met the delegation and Hewlett said it was great the DHB now fully supported ENs and would be having EN diploma students on clinical placements.

NZNO professional nursing adviser Suzanne Rolls said the visit had been very worthwhile, with mutual gains. "We provided the delegation with a good deal of NZNO documentation on ENs," she said.

The NMC regulates 670,000 RNs, and 40,000 midwives. There are around 300,000 unregulated health care workers in the UK.
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