A changing landscape: mapping provider organisations for community nursing services in England.

ABSTRACT

AIM(S) To scope the provision of community nursing services in England after implementation of the Transforming Community Services Programme. BACKGROUND: Over the past decade, significant UK policy initiatives have shaped the structure, organisation and responsibilities of community nursing services. Understanding these organisational changes is important in the context of organisations seeking to deliver 'care closer to home'. METHOD(S) A systematic mapping exercise to scope and categorise community nursing service organisation provider models. RESULTS: There are 102 provider organisations representing a range of organisational models. Two-thirds of these organisations have structurally integrated with another NHS Trust. Smaller numbers reorganised to form community trusts or community interest companies. Only a few services have been tendered to an accredited willing provider while a small number have yet to establish their new service model. Local discretion appears to have dominated the choice of organisational form. CONCLUSION(S) National policies have driven the reorganisation of community nursing services and we have been able to describe, for the first time, these 'transformed' structures and organisations. IMPLICATIONS FOR NURSING MANAGEMENT Providing detail of these 'new' models of service provision, and where these have been introduced, is new information for nurse managers, policy makers and organisational leaders, as well as researchers.