About District Nursing
District Nursing is an evolving service which is highly responsive to changes and challenges in order to provide high quality individualised care and services within the community setting.
District Nursing has a long history that predates the National Health Service. Current debates in health care policy and practice could be seen as questioning the fundamental nature of District Nursing practice.
There may be room for debate around the title of ‘District Nurse’ but in relation to the future role…
“There exists a clear vision and a determination that the district nurse of the future shall deliver a flexible, high quality and forward thinking service that works in partnership with diverse communities to place the patient at the centre of care delivery”.
(Boran and Clarridge 2005, p145).
District Nurses are accountable for the care and care planning for individuals and carers with a range of needs including the management of those with complex care needs. In addition to holistic needs assessment and the skilled care of individuals, District Nurses undertake service review and health needs assessment with the aim of coordinating or influencing the development of services.
With good communication and advocacy skills, District Nurses are able to act or speak on behalf of those individuals who are often least able to be involved in influencing service delivery (individuals who are house bound).