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Apprenticeship training course

District nurse (level 7)

Caring for patients with a wide range of health conditions.

Qualification level
Equivalent to master’s degree.
Typical duration
24 months
Apprenticeship category
Health and science
Maximum funding
Maximum amount government will fund
for apprenticeship training.
Skills an apprentice will learn
  • Manage a caseload of patients in a variety of community settings using a person centred approach including implementation of risk stratification and case management strategies to determine those at most risk of poor health outcomes
  • Use specialised skills to work collaboratively with the patient and the multidisciplinary team, to improve anticipatory care, self-management, facilitate timely discharges and reduce avoidable hospital admissions to enable care to be delivered closer to, or at home
  • Manage and co-ordinate programmes of care, for individuals with complex acute and long term conditions, striving to make the patient journey seamless between mental and physical health care, hospital and community services and between primary and community care
  • Assess when a referral is required and maintain overall responsibility for the management and co-ordination of care
  • Manage the delivery of service whilst critically evaluating the capacity and demand and being mindful of patient and staff safety
  • Autonomously assess the complex health needs of people, families and other informal carers to formulate care plans, anticipatory care and care packages
  • Appropriately manage problems and make decisions in partnership with people, families and other informal carers using advanced communication skills
  • Use evidence based physical and clinical assessments of individuals with complex health care needs to make accurate diagnostic decisions, including prescribing
  • Lead and support the clinical team to provide community nursing interventions in a range of settings
  • Manage clear lines of accountability for the assurance of clinical governance and care quality
  • Manage the district nursing team within regulatory, professional, legal, ethical and policy frameworks ensuring staff feel valued and developed
  • Critically analyse, act on and evaluate trends and demands on the district nursing service to inform workload and workforce planning
  • Work with other services, teams and colleagues to support fewer unnecessary admissions and facilitate timely discharges
  • Assess and identify the mental capacity of people
  • Use specialised skills to work in partnership with individuals, formal and informal carers and other services to promote health education, self-care and patient-led care, to maximise the individual’s independence and understanding of their condition(s)
  • Critically analyse, interpret and evaluate complex data and information to improve patient care
  • Determine and use specialised skills to influence and negotiate the development of operational plans for the service
  • Lead a team to deliver service improvement and change management that involves many interacting factors
  • Quality assure services and make service improvements
  • Determine and use specialised skills to influence and negotiate the development of public health initiatives
  • Collaborate with other agencies to analyse and evaluate public health principles, priorities and practice and implement these policies
  • Participate in the collation of a community profile to understand local assets
  • Utilise position within the organisation to influence position of community nursing teams in the provision of care for communities under their umbrella
  • Engage in research activity and develop evidence-based strategies to enhance the quality, safety, productivity and value for money of health and care
  • Lead improvements to care service delivery through the implementation of research findings, best practice, outcome of audits and patient feedback
  • Critically assess and evaluate risk using a variety of specialised tools across a broad spectrum of often interrelated and unpredictable situations, including staff, and people within their home environments
  • Formulate and implement risk assessment and management strategies that take account of people’s views and responsibilities, whilst promoting patient and staff safety and preventing avoidable harm to individuals, carers and staff
  • Ensure all staff are able to recognise vulnerability of adults and children and understand their responsibilities and those of other organisations in terms of safeguarding legislation, policies and procedures
  • Lead the service change required to deliver services and evaluate the outcome
  • Develop, support and train the team to meet new and evolving requirements in patient care

Full information on District nurse (level 7) is available from the Institute for Apprenticeships and Technical Education.

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Regulated occupation

District nurse (level 7) needs a training provider who is approved by Nursing and Midwifery Council.

Apprenticeship location

Check if a provider can offer this training for the apprenticeship location.

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