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Dear Chris, I have just seen the framework prototype in the CNO bulletin and online at DH.gov.uk. I largely like the prototype as it gives a very clear indication of the tremendous variety of nursing career pathways. I do however have a couple of fundamental issues. Firstly, I believe the model is flawed in it's basic structure and I wonder if it would have been better to start with the junior nursing grades in the centre of the model with more advanced and specialist areas radiating out of the centre. The career routes for experienced nurses are incredibly varied and many of these possibilities are not shown. For example, the prototype doesn't show how one could become the Chief Nursing Officer. I also have a significant issue about the public health nursing segment of the model. I think this area does not do any justice to my own area of practice, Occupational Health Nursing, and the model seems to suggest it is subservient to health visiting and school and family nursing. Occupational Health Nursing is a very important and highly specialised area of nursing practice with education now commencing at degree level and increasingly at masters level. I am presently undertaking a doctorate and the model does not have an appropriate area for progression within my practice arena yet I am aware of many options open to me. My main reason for flagging my concerns to you relate to the impression the model may give to nurses considering careers in Occupational Health nursing or students or other nurses at the start of their careers. I note that in the CNO bulletin that there was no mention of OH nurses participating in the development of the model and I think this was a lost opportunity. I would be grateful if my concerns could be noted. I would be happy to contribute to any future discussion and development of the model if my opinion would be valued. Kind regards Paul D'Arcy Clinical Nurse Leader Occupational Health Imperial College Healthcare NHS Trust 2nd Floor Hammersmith House Hammersmith Hospital Du Cane Road London W12 0HS Tel 020 8383 3063 UK's first Academic Health Science Centre incorporating St Mary's and Hammersmith Hospitals, in partnership with Imperial College London ---------------------------------------------------------------------- Imperial College Healthcare NHS Trust notice: The contents of this e-mail are confidential to the ordinary user of the e-mail address to which it is addressed and may also be privileged. If you are not the addressee of this e-mail you may not copy, forward, disclose or otherwise use it in any form whatsoever. If you have received this e-mail in error please telephone the Imperial College Healthcare NHS Trust on +44 (0)20 3311 3311 and ask for the person who sent you the email. Please also delete the message from your computer. [end] ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk