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ABSTRACT

The policy document �Commissioning a Patient-Led NHS� (2005) outlined the UK government�s intention that all primary care and community services should be commissioned and delivered within a financially competitive framework. The implications of these new policies are that services currently provided by community nurses employed by NHS organisations are being offered to other organisations through a competitive tendering process. This could mean that community nurses may lose their jobs, or that they would need to change employers to stay within the same role.
A potentially positive and innovative aspect of this policy transition is that community nurses will now be able to join together to form a company or a non-profit-making organisation such as a social enterprise with a view to bidding to provide such community services. This means that nurses will need to compete with large, well-funded and established private companies such as US-based healthcare providers, who are able to put together attractive bids.
Nurses are not trained in business skills and may see such financial imperatives as being contrary to core nursing values such as the maintenance of human dignity, integrity and a commitment to social justice (Fahrenwald, NL et al, 2005). However, if community nurses do not engage with the government�s agenda, they may lose the opportunity to develop and provide innovative community services.
Research is therefore required to investigate the opportunites and challenges offered by this evolving policy environment. The poster presentation will focus on setting an appropriate research agenda in this exciting but potentially threatening time of transition by identifying the gaps in research in teaching and practice in this area and suggesting ways forward.

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