Why we need an improvement resource for the district nursing service

Independent charity the Queen's Nursing Institute has been working towards providing a safer enviroment for staff in community settings.

The Queen's Nursing Institute (QNI) has been closely involved in work around safe staffing in community nursing in recent years. As an independent charity, unconnected with employers or unions, we offer expert and objective evidence informed by consultation with practitioners, including members of our national network of Queen’s Nurses.

The issue of safe staffing achieved national importance after publication of the Robert Francis’ 2013 report into care failings at Mid Staffordshire NHS Foundation Trust and subsequent debates around whether setting a maximum number of patients per registered nurse on a hospital ward was necessary or desirable. The same question is as pertinent for community nursing, most delivered in people’s homes, often without supervision by a district nurse specialist practitioner.

Follow-up failures

NHS England’s Five Year Forward View, published in


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