A changing landscape: mapping provider organisations for community nursing services in England
Article first published online: 12 JUL 2013
© 2013 John Wiley & Sons Ltd
Journal of Nursing Management
How to Cite
2013) Journal of Nursing Management A changing landscape: mapping provider organisations for community nursing services in England& (
- Article first published online: 12 JUL 2013
- Manuscript Accepted: 27 MAR 2013
- community nursing;
- primary care trusts;
- provider organisations;
- scoping study;
- transforming community services
To scope the provision of community nursing services in England after implementation of the Transforming Community Services Programme.
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’.
A systematic mapping exercise to scope and categorise community nursing service organisation provider models.
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.
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.