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Nursing and Midwifery


The integration of health and social care in Scotland calls for new models of care, delivered by multidisciplinary, integrated teams.  This means historical boundaries between services, settings and roles will become blurred.  Refocus and redesign is now needed to bring about transformational change in improving population health and deliver high-quality, integrated and tailored care and services that maximise the contribution of all health and social care professionals.

Programmes of work that drive improvements in population health, enhance quality and safety, and secure best value from health and social care services are needed to deliver this transformational change in service design.  The nursing, midwifery and health professions (NMaHP) workforce has a crucial role in developing and delivering these programmes.

The Chief Nursing Officer (CNO) is committed to maximising the contribution of the NMaHP workforce and pushing the traditional boundaries of professional roles.  The Transforming Roles programme aims to provide strategic oversight, direction and governance to:

  • Develop and transform NMaHP roles to meet the current and future needs of Scotland’s Healthcare system.
  • Ensure national consistent, sustainable and progressive roles, education and career paths.

Work is currently focussed in the following areas:

  • Children's Integrated Healthcare Teams
  • Advanced Practice
  • General Practice Nursing
  • Physician Associates
  • Postgraduate education and development
  • Specialist Nursing

A series of brief papers on the Tranforming Roles programme have been produced which aim to update stakeholders on the profession's contribution to the wider transformational change agenda in health and social care in Scotland.  Links to these papers can be found below:

Transforming Nursing, Midwifery and Health Professions Roles - Introduction - Paper 1

This first introductory paper focuses on the background, policy context and education framework of Transforming Roles.

Transforming Nursing, Midwifery and Health Professions Roles - Advance Nursing Practice - Paper 2

This second paper outlines guidance for employers on developing advanced nursing practice in NHSScotland.

Transforming Nursing, Midwifery and Health Professions Roles - The District Nursing Role in Integrated Community Nursing Teams - Paper 3

This third paper outlines how district nursing roles are being developed in NHSScotland.

The School Nursing Role in Integrated Community Nursing Teams - Paper 4

This paper outlines the school nurse's contribution within wider health and educational wellbeing teams in schools.

Transforming Nursing, Midwifery and Health Professions Roles - Transforming Education and Career Development in Nursing - Paper 5

This fifth paper outlines the education and career development pathways model, which underpins the transformation of nursing roles and was developed during Phase 1 of the programme.