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Change History |
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Collection of Community Nursing Indicators (modified from previous collection as Welsh Core Indicators) |
From March 2004 - 8 Community Nursing Indicators, previously collected under WCI (which has been discontinued), will be collected as Community Nursing Indicators.
Five indicators are being collected via a replacement data collection; the remaining 3 are continuing to be collected via other existing data collections.
The 5 Community Nursing Indicators being collected via the new Community Nursing Indicators data collection are: -
Note: old WCI reference numbers from the previous electronic WCI data collection exercise using WCI EIS Software e.g., XX01.1, which is not is use anymore, have been removed from the definitions
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Indicator 3 |
Number of children 'in need' (as defined in 1989 Children's Act – see below) aged under 5 years as % of children under 5 years on Health Visitor caseloads at 31 January |
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Definition of Terms |
Definition of 'children in need', 1989 Children's Act: "he is unlikely to achieve or maintain, or to have the opportunity of achieving or maintaining, a reasonable standard of health or development without the provision for him of services by a local authority; his health or development is likely to be significantly impaired, or further impaired, with the provision for him of such a service, or he is disabled." (section 17(10)). Children under 5 years on Health Visitor caseloads: all children under 5 years. Position at 31 January following annual profiling (caseload count). |
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Indicator Rationale |
Indicator of level of need in a defined area. Workload of Health Visitors may be related to social deprivation indices – a social exclusion indicator. |
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Calculation |
Number of children 'in need' aged under 5 years x 100% Number of children under 5 years on Health Visitor caseloads at 31 January |
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Base Data |
Number of children 'in need' aged under 5 Number of children under 5 years on Health Visitor caseloads at 31 January (all children under 5 years). |
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Indicator 5 |
% of leg ulcers treated by RGNs in the District Nurse team where treatment commenced during period 1 April to 30 June which healed within 6 months of treatment starting. |
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Definition of Terms |
Include venous ulcers only. Include each separate ulcer.
RGNs in District Nurse team: include all RGNs and DNs. |
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Indicator Rationale |
Application of research based diagnosis and treatment methods demonstrate improved healing rates. Value for Money indicator. |
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Calculation |
Number of leg ulcers (treatment commenced 1.4 – 30.6) which healed within 6 months x 100% Number of leg ulcers where treatment commenced during period 1 April to 30 June |
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Base Data |
Number of leg ulcers treated by RGNs in the District Nurse team where treatment commenced during period 1 April to 30 June which healed within 6 months of treatment Number of leg ulcers treated by RGNs in the District Nurse team where treatment commenced during period 1 April to 30 June |
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Indicators 6 |
Number of patients requiring more than 1 visit per day by District Nursing service during month of January as a % of total number of patients on District Nursing caseload during the month of January. |
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Definition of Terms |
DN service: include all staff in DN service – both qualified and unqualified. District Nurse caseload: number of patients seen by the District Nursing service (both qualified and unqualified nurses). Exclude patients requiring more than 1 visit per day solely for the purposes of administering eye drops.
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Indicator Rationale |
Indicator of dependency levels of patients, workload and/or choice of patients to remain in their own homes rather than be admitted into residential/ hospital/ nursing home. |
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Calculation |
Number of patients requiring more than 1 visit per day by DN service during January x 100% Total number of patients on DN caseload during January |
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Base Data |
Number of patients requiring more than 1 visit per day by DN service during January Total number of patients on DN caseload during January |
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Indicator 7 |
Number of patients with pressure sores grade III/IV during January as a % of total number of patients on District Nursing caseload during the month of January. |
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Definition of Terms |
District Nurse caseload: number of patients seen by the District Nursing service (both qualified and unqualified nurses). Pressure sore grading system is system used locally.
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Indicator Rationale |
Indicator of quality of care (although not absolute). |
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Calculation |
Number of patients with pressure sores grade III/IV during January x 100% Total number of patients on DN caseload during January |
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Base Data |
Number of patients requiring more than 1 visit per day by DN service during month of January Total number of patients on DN caseload during the month of January |
Note: the denominators of indicator 6 and indicator 7 are the same
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Indicator 8 |
Number of patients discharged home from hospital care for care by District Nursing service with inadequate discharge care packages during the month of January as a % of total number of patients discharged from hospital care into the care of DN service during the month of January. |
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Definition of Terms |
Care package – resources identified to maintain patient at home. May include home adaptations, equipment, drugs, health or SSD home care staff time, carer time. Inadequate – where resources, identified above, are needed to meet the full care needs of a patient discharged home, have either; 1. Not been identified at all prior to discharge, or 2. Have been underestimated, or, 3. Have been identified but are not available on discharge. |
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Indicator Rationale |
Inadequate discharge arrangements may lead to inappropriate re-admission to acute care and delayed discharge. Indicator of poor interagency or inter/intra Trust partnerships. |
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Calculation |
Number of patients discharged home from hospital care for care by DN service with inadequate discharge care packages during the month of January x 100% Total number of patients discharged from hospital care into the care of DN service during the month of January |
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Base Data |
Number of patients discharged home from hospital care for care by DN service with inadequate discharge care packages during the month of January Total number of patients discharged from hospital care into the care of DN service during the month of January |
The remaining 3 Community Nursing Indicators which will continue to be collected via other data collections are:-
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Indicator 1 |
Percentage of births to women resident in Wales where mother expressed intention at birth to breastfeed |
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Definition of Terms |
Number of births to women resident in Wales between 1 April and 31 March where mother expressed an intention to breastfeed (wholly or partially) as a % of all births to women resident in Wales between 1 April and 31 March |
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Indicator 2 |
Percentage of babies breastfed at age 2 months or at first immunisation |
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Definition of Terms |
Number of babies breastfed (wholly or partially) at age 2 months post-natal or at first immunisation of baby as a % of all babies age 2 months at some time during the year 1 April to 31 March. Includes partial breast-feeders i.e. any breast-feeding or the giving of breast milk to infants. |
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Indicator 4 |
Percentage of people seen (first contacts) who are 65 years or over seen by Health Visitors |
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Definition of Terms |
Number of first contacts aged 65+ with HVs 1 April to 31 March as a % of all first contacts with HVs 1 April to 31 March |