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home Health and science
Specialist community public health nurse - School Nurse

Specialist community public health nurse - School Nurse

Health and science

Level 7 - Professional Occupation

Assessing the health needs of individuals, families, workplaces and the wider community.

Reference: OCC1418B

Status: assignment_turned_inApproved occupation

Technical Education Products

Employers involved in creating the standard:

Barking, Havering and Redbridge University Hospitals NHS Trust, Bolton Hospital NHS Foundation Trust , Department of Health and Social Care, Derbyshire Community Health Services NHS Foundation Trust, Derbyshire Healthcare Foundation Trust, Gloucestershire Health and Care NHS Foundation Trust, HCRG Care Group, Health Education England - Talent for Care, Hertfordshire Community NHS Trust, Institute of Health Visitors, Locala Health and Wellbeing, Manchester Local Care Organisation, Manchester University NHS Foundation Trust (MFT), National School of Occupational Health, NHS England, North Somerset Community Partnership, Nottingham Healthcare NHS Foundation Trust, Nottinghamshire Healthcare NHS Foundation Trust, Nursing and Midwifery Council, People Asset Management Group, Royal College of Nursing, Sirona Care and Health, Skills for Health, Society of Occupational Medicine, Stockport NHS Foundation Trust, Sussex Community NHS Foundation Trust, Unite the Union, Whittington Health NHS Trust

Summary

This occupation is found in the public, independent and private sectors. Health visitors and school nurses are employed in the NHS, local authorities, community interest companies, social enterprises and schools. Occupational health nurses are employed by any type of employer in the public, private and voluntary sectors.

The broad purpose of the occupation is to make sure work in partnership with people to prevent ill health, protect health and promote safety and wellbeing. Using a formidable evidence base they will lead, influence and collaborate with other agencies, organisations and professionals to improve and embed sustainable changes to the overall health, safety and wellbeing of people at home, within communities, in schools and in the workplace. SCPHNs play a key role in the safeguarding of those people who are most vulnerable in society, and are ambitious for the public health of the communities they serve. They actively pursue sustainable development goals that promote everyone’s right to a healthy life.

SCPHN health visitors (HV) are uniquely placed to reach every infant and child in their own home, and be connected to their whole family and community. They build trusting relationships with children, carers and families, to positively influence their future health outcomes. They identify their health needs and strengths and deliver timely, effective, evidence-based interventions in partnership with them. They provide a universal service that ensures support for infants, children and families is personalised, effective, timely and proportionate. The needs and the welfare of the infant and child are at all times central to their work. Health visitors use their professional autonomy to adapt and tailor their response to the health, safety and wellbeing needs of individuals, families and communities within diverse and changing contexts. They are sensitive to different cultural perspectives and use in-depth knowledge of local communities to develop strong community relationships and to connect families with the community resources that best meet their needs. Health visitors are advocates for fairness, equity and social justice and will challenge discriminatory practices and behaviours. They understand the impact of the wider determinants of health and are committed to addressing health inequalities through prevention and early intervention, and the promotion and improvement of health. They lead services that are person-centred and evidence driven, with creativity and resourcefulness, and evaluate the impact of their interventions to continuously improve the quality of care and outcomes for infants, children and families. They maximise the positive impact of health visiting services by working within a collaborative system, planning and coordinating care and maintaining continuity across different services and agencies. They embrace and champion new technologies and are skilled in leading changes in service delivery

SCPHN school nurses (SN) are autonomous practitioners who uphold the rights of school-aged children and young people at all times. Working collaboratively across health, education and other agencies, and as an integral part of a broader public health service, school nurses advocate for optimum health for all school-aged children and young people, seeking to ensure that services are fair, inclusive, equitable, anti-discriminatory and positively influence health and wellbeing. Using a variety of advanced communication skills, school nurses build mutually trusting relationships with school-aged children and young people, and parents, carers and families. Importantly, school nurses actively listen to school-aged children and young people, taking account of what matters to them and always putting the needs, welfare and safety of school-aged children and young people first. School nurses provide culturally appropriate support and early interventions which aim to promote positive choices and reduce risk-taking behaviours. They focus on and support the holistic needs of school-aged children and young people. They understand the wider determinants of health and are committed to addressing health inequalities across the life course, through health education, health promotion and evidence-based age and maturity appropriate interventions. They know their community and its assets and lead services that are person-centred and evidence driven to ensure positive health outcomes for school-aged children and young people. They collaborate and work effectively with teams and other professionals across a range of sectors and agencies.

SCPHN occupational health nurses (OHN) lead and work in a range of work environments and sectors. They lead services to enhance the health, safety and wellbeing of people in their workplaces and beyond. Working autonomously, they promote and protect the health of the workforce, ensuring a healthy balance between work and wellbeing. As a distinct group of public health professionals, they help to prevent work-related ill health and disease by advising on the creation of workplaces that are safe, efficient and inclusive. Occupational health nurses collaborate with other professionals, sector experts, employers and employees to lead workplace health initiatives that are responsive to the needs of individuals and organisations. They are able to use and analyse data effectively combining their specialist nursing skills with broader understanding and experience of the distinct sector they work in to embed health initiatives in the wider organisational planning for the benefit of people and communities and in addressing inequalities. Applying their professional judgement and business acumen, occupational health nurses create innovative strategies for inclusive workplaces that enable people of varied abilities to be productively employed. They champion the need for workplace health, safety and wellbeing strategies that recognise the impact of health on work and the value of work to health. Recognising the value of a diverse working population, occupational health nurses embed person-centred approaches to health that address the needs of a varied workforce. They are change agents who influence at strategic and sector level, thinking globally but acting locally, to create a healthy workforce for the present and the future.

SCPHN public health nurses (PHN) are specialists in public health who do not have a predetermined field of SCPHN practice. They may work in roles across a wide range of sectors and settings, applying their specialist public health knowledge and skills to the people, communities and populations they serve. They take a life course and whole population approach to make a valuable contribution to the wider society’s health, safety and wellbeing and in addressing health inequalities. They advocate for people fostering therapeutic relationships that build confidence and trust. They may provide public health information, support and provide timely interventions to people. Equally they may offer public health advice and support to voluntary or third sector organisations within the wider community. They proactively collaborate with interdisciplinary and inter-agency teams and services to ensure that people who require wider public health support, care and interventions have fair and equitable access to public health resources, that promote their health, safety and wellbeing, prevent ill health and protect those who are vulnerable.

Employers involved in creating the standard:

Barking, Havering and Redbridge University Hospitals NHS Trust, Bolton Hospital NHS Foundation Trust , Department of Health and Social Care, Derbyshire Community Health Services NHS Foundation Trust, Derbyshire Healthcare Foundation Trust, Gloucestershire Health and Care NHS Foundation Trust, HCRG Care Group, Health Education England - Talent for Care, Hertfordshire Community NHS Trust, Institute of Health Visitors, Locala Health and Wellbeing, Manchester Local Care Organisation, Manchester University NHS Foundation Trust (MFT), National School of Occupational Health, NHS England, North Somerset Community Partnership, Nottingham Healthcare NHS Foundation Trust, Nottinghamshire Healthcare NHS Foundation Trust, Nursing and Midwifery Council, People Asset Management Group, Royal College of Nursing, Sirona Care and Health, Skills for Health, Society of Occupational Medicine, Stockport NHS Foundation Trust, Sussex Community NHS Foundation Trust, Unite the Union, Whittington Health NHS Trust

Typical job titles include:

Health visitor
Occupational health nurse
School nurse
Specialist community public health nurse

Keywords:

Care
Community
Health
Medicine
Midwife
Nurse
Nursing
Science

Knowledge, skills and behaviours (KSBs)

K1: The links between global and national socio-economic and political strategies and policies and public health.
K2: The relevant legal, regulatory and governance requirements, policies and ethical frameworks to the specialist community public health practice, differentiating between the devolved legislatures of the UK.
K3: Legislation, guidance and advice regarding sustainable development goals, including environmental factors and other pollutants that affect the health and wellbeing of people now and in the future.
K4: How to make professional judgements and decisions, and work in complex, unfamiliar and unpredictable environments.
K5: Stigma and the potential for bias.
K6: The need for reasonable adjustments for people, groups and communities, influencing public health policy change and best practice.
K7: The advanced numeracy, literacy, digital and technological skills required to meet the needs of people, communities and the wider population, to ensure safe and effective specialist public health nursing practice.
K8: The impact and benefits of local and national health and other policies on the health and wellbeing of people, communities and populations.
K9: How to identify, evaluate and proficiently use multiple sources of evidence and research relevant to people, communities and populations to inform specialist community public health nursing practice.
K10: The research, evidence and policy that impact on public health nursing practice.
K11: Data reliability, statistics and informatics.
K12: How to identity whether data and information available is sufficient to inform public health priorities and national intervention strategies and how to refine data sets or recognise the need for further study.
K13: How to critically appraise epidemiological research.
K14: The evidence base theory and principles of public health and nursing practice and how it supports innovative approaches to influence people’s motivation, choices and behaviours.
K15: How to critically appraise the evidence that informs new innovations in public health programmes, including genomics, and evaluate early success measures and impact on population health outcomes.
K16: How to share outcomes and lessons learned from audit, research and evaluation in specialist public health nursing practice locally and nationally and across sectors through professional and peer reviewed processes.
K17: The factors that may lead to inequalities in health outcomes and health inequity.
K18: The importance of compassionate leadership in applying human rights, equality, diversity and inclusion, to improve the health and wellbeing of people, communities and populations.
K19: The legal, ethical, moral and spiritual needs and challenges that may be faced when promoting population health.
K20: How complexity and comorbidity impact on people, communities and populations.
K21: The opportunities individuals have to educate themselves on the risks to themselves and others of the abuse of tobacco, alcohol and other substances and potentially addictive behaviours.
K22: How to conduct, interpret and evaluate health assessment and screening, surveillance and profiling checks and interventions, and immunisation and vaccination programmes for people, communities and populations.
K23: The importance of equitable and accessible services for all through improved health literacy communication and networking.
K24: The importance of consulting with, listening to and supporting people, communities and populations when assessing, planning and co-producing public health interventions.
K25: Models, evidence and concepts to plan, conduct and evaluate population level interventions to address specific public health issues.
K26: The determinants of health in order to develop culturally responsive and inclusive public health interventions with people, communities and populations.
K27: How to lead on identifying vulnerable people, families, communities and populations and the action that can be taken to support, safeguard and protect them.
K35: Trends in global and national strategies and programmes for preventative interventions and promotion of health.
K36: How to apply genomics into their SCPHN practice to support prevention and early intervention in the health of the population across the life course.
K37: The importance of community assets and resources to support positive health and wellbeing of people, communities and populations.
K38: How to empower people, communities and populations to connect effectively with local initiatives, support networks, community assets, programmes and resources that support their health and wellbeing.
K39: Social prescribing to support individual, community and population health outcomes.
K40: Behavioural, psychological and social sciences and how these can be applied to people across the life course, and to communities and populations, to enhance collaborative, strength-based therapeutic relationships.
K41: The importance of medicines management with respect to administration, optimisation and reconciliation, and the positive impact of correct medicines management on people’s current and future health outcome.
K42: How to assess the health status and health literacy of populations across the life course and their related determinants of health.
K43: How to use culturally appropriate, evidence-based approaches to assess, support and monitor the health and wellbeing of people, and when to refer to specialist services.
K44: The importance of populations, places, communities and determinants of health to inform key areas of specialist public health practice.
K45: How to lead on and contribute to policy and reporting into environmental, social-structural factors, and individual behaviours that impact on the health of people across the life course.
K46: How to use data and observation to evaluate the effectiveness and acceptability of services that seek to improve health outcomes of their intended users and identify trends or a need for improvement.
K63: Strategies and initiatives that improve home, community and workplace cultures and environments to enhance the health and wellbeing of people and communities in the places they live, learn and work.
K64: New and assistive technologies that support and influence people’s choices for their own health and wellbeing, and assist with access to services.
K65: How to develop and present business cases to create investment for change and value for money.
K66: The importance of leading and supporting a culture of learning and continuous professional development for colleagues, and with interdisciplinary and interagency teams.
K67: Individual abilities and learning needs when applying the standards of education and training for pre- and post-registration nursing, midwifery and nursing associate students, in order to educate, supervise and assess effectively.
K68: How to identify sustainable development goals, the risks to the environment and the impact on the health and wellbeing of people.
K69: The importance of sharing information regarding communicable diseases and approaches necessary for communicable disease surveillance, infection prevention and control, including immunisation and vaccination programmes.
K70: How to assess and manage major incidents and outbreaks including contamination and communicable disease across local or wider boundaries.
K71: How to identify, critically analyse and manage new and enduring hazards and risks to health at local, national and global levels.
K72: How to plan for emergencies and pandemic threats to population health taking account of the direct and wider risk, impacts and hierarchy of controls on health and wellbeing and service provision.
K77: The importance of leading public health services that promote and improve the health and wellbeing of people, communities and populations.
K78: How to assess service requirements.
K79: How to monitor and report on the outcomes of strategy and policy implementation and make recommendations for improvement including changes to commissioning.
K80: How to triangulate information obtained from audit, continuous improvement activity, governance, risk management and performance monitoring to evaluate the efficacy of service provision.
K81: How a culture of critical reflection and continuous professional development promotes team and interdisciplinary learning.
K82: The importance of alliances and partnerships that support equality, diversity and inclusion, collaboration and sharing of new ideas and innovations.
K83: Advanced communication skills, including the use of digital and other modalities support communication in virtual and remote environments.
K84: Techniques that can be used to influence, challenge, and persuade peers and senior stakeholders in relation to public health strategies and policies that affect people, communities and populations.
K89: The relationship between school, life, mental and physical health and ill health.
K90: Interventions that are holistic, inclusive and responsive to the needs of school-aged children and young people.
K91: The impact of intergenerational cycles of dependency and adversity on school-aged children and young people, and how protective factors, early help, and interventions improve health outcomes.
K92: How to identify vulnerability and inequality within the school-aged population, and identify those needing support and those at risk.
K93: How to safeguard and prioritise support for school-aged children and young people most at risk, and escalate concerns.
K94: How to provide specialist expertise for safeguarding and child protection pathways.
K95: The challenges and potential conflicts that may arise when applying safeguarding and child protection pathways to individual school-aged children and young people.
K96: How to assess the risk for vulnerability in school-aged children and young people and families that are impacted by changes to their circumstances.
K97: The potential impact of stigma, bias and assumptions that people may make about school-aged children and young people.
K98: The validated tools that can be used to deliver holistic health assessments and programmed development reviews that aim to improve individual, community and population health outcomes.
K99: The biopsychosocial, moral and spiritual development of school-aged children and young people at all key phases in the life course.
K100: How age and biopsychosocial development influence communication skills in the school-aged population.
K101: How biopsychosocial influences in adolescent years impact on behaviour, life skills and transition to adulthood and recognise adolescence as a distinct stage of the life course.
K102: The impact of key transition periods and events for school-aged children and young people including starting and leaving school, change of care provider, illness and bereavement.
K103: The range of evidence-based interventions that support young people’s safe transition to adulthood.
K104: How to optimise positive behaviours in parents, carers, families and peers and, the evidence-based interventions that can promote trust and self-efficacy to improve health and wellbeing for school-aged children and young people.
K105: The opportunities for local grants, financial support and other local community assets and services.
K106: The action to take to prevent and minimise the risk of adverse childhood experiences and how to use protective factors to support and guide school-aged children and young people, parents and carers.
K107: School aged children and young people’s emotional literacy, cognitive ability, wellbeing and resilience skills.
K108: Early signs of low mood and anxiety in school-aged children and young people.
K109: How evidence-based interventions help school aged children and young people consider the impacts of and risks associated with specific behaviour choices related to social media, alcohol/substances, violence, exploitation and gang culture.
K110: The effects of trauma on children and young people’s development and adjustment and how to use culturally appropriate, evidence-based, trauma-informed approaches to assess, support and monitor.
K111: The ways community and population profiling can be used to identify and assess health and wellbeing needs and priorities for school-aged children and young people.
K112: How collaborative cultural and community developments can improve health and wellbeing in the school-aged population.
K113: Local health education, health promotion and safety campaigns aligned to key public health priorities for school-aged children and young people.
K114: The impact of the school environment, its culture and relationships on school-aged children and young people and the effect on their health, wellbeing and achievement.
K115: The impact of socio-economic disadvantage including digital poverty.
K116: Lived experiences which may impact on school aged children and young people’s behaviour, health and wellbeing.
K117: The parents’ and carers’ need for autonomy and control and the wide range of attitudes, values, beliefs, expectations, faiths, cultures and approaches to parenting.
K118: The data, information and intelligence related to home, school and community environments and how this intelligence can be widely reported to positively influence policy and strategy to improve health and wellbeing.
K119: Services available support for school-aged children and young people.
K120: How to advocate for school-aged children and young people in public health services, and ensure their voice is heard to ensure co-production, co-design and development at universal, targeted and specialist service levels.
K121: Regional and national public health initiatives to protect and promote the health and wellbeing of school-aged children and young people.
K122: How the lived experience and lived existence of school-aged children and young people and other sources of evidence can influence and inform current and future specialist practice, policy decisions and school nursing service design.
K123: The need to promote visibility of school nursing services and ensure accessibility through engagement with school aged children and young people, parents, carers, families, school staff, other professionals and voluntary sector organisations.
K124: The design school nursing services which recognise and respect children and young people’s privacy and dignity.
K125: The opportunities, benefits and risks for school nursing services when communicating with school-aged children and young people face to face and via social media and virtual platforms.
K153: The factors that influence identity and support school-aged children and young people to develop their identity.

S1: Practice with a high level of autonomy, entrepreneurship and innovation as a specialist community public health nurse.
S2: Be an effective ambassador, role model and compassionate leader, and a positive influence on the profession.
S3: Drive and influence their own field of SCPHN practice.
S4: Select and apply relevant legal, regulatory and governance requirements, policies and ethical frameworks to their specialist community public health practice, differentiating between the devolved legislatures of the UK.
S5: Lead on the application of legislation, guidance and advice regarding sustainable development goals, including environmental factors and other pollutants that affect the health and wellbeing of people now and in the future.
S6: Influence and promote health as a fundamental human right and as a shared value through engagement, inclusion and participation.
S7: Make professional judgements and decisions, and work in complex, unfamiliar and unpredictable environments, proactively identifying actions and solutions to problems that may have many interacting factors.
S8: Lead and promote public health provision that is person-centred, anti-discriminatory, culturally competent and inclusive.
S9: Demonstrate critical awareness of stigma and the potential for bias, taking action where necessary to educate others and resolve issues arising from both.
S10: Recognise the need for and lead on action to provide reasonable adjustments for people, groups and communities, influencing public health policy change and best practice.
S11: Demonstrate the advanced numeracy, literacy, digital and technological skills required to meet the needs of people, communities and the wider population, to ensure safe and effective specialist public health nursing practice.
S12: Assess the impact and benefits of local and national health and other policies on the health and wellbeing of people, communities and populations.
S13: Identify, evaluate and proficiently use multiple sources of evidence and research relevant to people, communities and populations to inform specialist community public health nursing practice.
S14: Identify gaps in research, evidence and policy that impact on public health nursing practice and influence how to address these.
S15: Utilise and effectively participate in new areas of research across interdisciplinary and interagency teams related to public health priorities and interventions.
S16: Use reliable data, statistics and informatics to lead on and support policies and programmes that improve the health outcomes of people, communities and populations.
S17: Identify where insufficient information and data is available to inform public health priorities and national intervention strategies and how this may be addressed by refining data sets or in recognising the need for further study.
S18: Critically appraise epidemiological research and demonstrate its use in evidence-based specialist public health nursing practice.
S19: Synthesise and apply knowledge from research, evaluation, audit and global innovation that leads to improvements in the health of people, communities and populations and addresses health inequalities.
S20: Apply the evidence base theory and principles of public health and nursing practice to support innovative approaches to influence people’s motivation, choices and behaviours.
S22: Share outcomes and lessons learned from audit, research and evaluation in specialist public health nursing practice locally and nationally and across sectors through professional and peer reviewed processes.
S23: Critically analyse the factors that may lead to inequalities in health outcomes and health inequity and take appropriate action to mitigate their impact on people, communities and populations.
S24: Demonstrate compassionate leadership in applying human rights, equality, diversity and inclusion, to improve the health and wellbeing of people, communities and populations.
S25: Appreciate the legal, ethical, moral and spiritual needs and challenges that may be faced when promoting population health, helping to mitigate barriers that enable people and families to live to their full potential.
S26: Assess the impact of complexity and comorbidity and their impact on people, communities and populations, in order to share knowledge and lead on person-centred public health approaches.
S27: Develop, promote and support opportunities to educate individuals on the risks to themselves and others of the abuse of tobacco, alcohol and other substances and potentially addictive behaviours.
S28: Conduct, interpret and evaluate health assessment and screening, surveillance and profiling checks and interventions, and immunisation and vaccination programmes for people, communities and populations.
S29: Ensure equitable and accessible services for all through improved health literacy communication and networking.
S30: Consult with, listen to and support people, communities and populations when assessing, planning and co-producing public health interventions.
S31: Use models, evidence and concepts to plan, conduct and evaluate population level interventions to address specific public health issues.
S32: Apply understanding of determinants of health to develop culturally responsive and inclusive public health interventions with people, communities and populations.
S33: Lead on identifying vulnerable people, families, communities and populations and take action to support, safeguard and protect them, and coordinate timely care and other responsive support when needed.
S36: Continually assess and skilfully adapt to different environments and complex situations in order to identify and advocate for those families most at risk, while at all times safeguarding the welfare of the child and others at risk.
S42: Recognise, critically evaluate and monitor trends in global and national strategies and programmes for preventative interventions and promotion of health to inform specialist public health practice locally, nationally and globally.
S43: Recognise and accommodate any future developments in the application of genomics into their SCPHN practice to support prevention and early intervention in the health of the population across the life course.
S44: Appreciate and use community assets and resources to support positive health and wellbeing of people, communities and populations.
S45: In partnership with people, adopt a life course approach when assessing the public health needs of people, communities and populations.
S46: Empower people, communities and populations to connect effectively with local initiatives, support networks, community assets, programmes and resources that support their health and wellbeing.
S47: Use social prescribing to support individual, community and population health outcomes.
S48: Enhance collaborative, strength-based therapeutic relationships.
S49: Appreciate the importance of medicines management with respect to administration, optimisation and reconciliation, and the positive impact of correct medicines management on people’s current and future health outcome.
S50: Assess the health status and health literacy of populations across the life course and their related determinants of health.
S51: Use culturally appropriate, evidence-based approaches to assess, support and monitor the health and wellbeing of people, and appropriately refer to specialist services if necessary.
S52: Critically apply knowledge of populations, places, communities and determinants of health to inform key areas of specialist public health practice.
S53: In partnership with communities, develop and implement plans for local communities and populations to positively affect public health outcomes.
S54: Lead on and contribute to policy and reporting into environmental, social-structural factors, and individual behaviours that impact on the health of people across the life course.
S55: Use data and observation to evaluate the effectiveness and acceptability of services that seek to improve health outcomes of their intended users, and be able to identify trends or a need for improvement.
S72: Critically appraise and apply strategies and initiatives that improve home, community and workplace cultures and environments to enhance the health and wellbeing of people and communities in the places they live, learn and work.
S73: Critically appraise the use of new and assistive technologies that support and influence people’s choices for their own health and wellbeing, and assist with access to services.
S74: Demonstrate professional business and financial acumen when developing and presenting business cases to create investment for change and value for money.
S75: Tailor nationwide programmes or commission new services that promote healthy cultures, environments and behaviours for local implementation and evaluate their effectiveness.
S76: Lead and support a culture of learning and continuous professional development for colleagues, and with interdisciplinary and interagency teams.
S77: Recognise individual abilities and learning needs when applying the standards of education and training for pre and post-registration nursing, midwifery and nursing associate students, in order to educate, supervise and assess effectively.
S78: Promote and lead effective public health workplace cultures that benefit people, communities, and populations.
S79: Advance public health through identifying sustainable development goals and prepare to take action on risks to the environment and its impact on the health and wellbeing of people.
S80: Share information regarding communicable diseases and approaches necessary for communicable disease surveillance, infection prevention and control, including immunisation and vaccination programmes.
S81: Plan for emergencies and pandemic threats to population health taking account of the direct and wider risk, impacts and hierarchy of controls on health and wellbeing and service provision.
S87: Lead public health services that promote and improve the health and wellbeing of people, communities and populations.
S88: Lead teams that are effective in delivering public health services, both on their own and in collaboration with others.
S89: Assess service requirements influencing and leading on policy development and strategic planning to address population health needs incorporating approaches for prevention and risk management.
S90: Monitor and report on the outcomes of strategy and policy implementation and make recommendations for improvement including changes to commissioning.
S91: Evaluate the efficacy of service provision by triangulating information obtained from audit, continuous improvement activity, governance, risk management and performance monitoring.
S92: Compassionately lead and support a culture of critical reflection and continuous professional development that promotes team and interdisciplinary learning.
S93: Build alliances and partnerships that support equality, diversity and inclusion, collaboration and sharing of new ideas and innovations and be able to agree shared goals and priorities.
S94: Use a range of advanced communication skills with people, communities, peers and interdisciplinary and interagency colleagues, including use of digital and other modalities to support communication in virtual and remote environments.
S95: Communicate simple and complex public health information in a variety of formats, tailored for different community and population audiences.
S96: Use a range of techniques to influence, challenge, and persuade peers and senior stakeholders in relation to public health strategies and policies that affect people, communities and populations.
S103: Proactively promote, support and improve the health and wellbeing of school-aged children and young people, recognising the rights of the child at all times.
S104: Evaluate the relationship between school, life, mental and physical health and ill health and lead on proactive approaches to promote and protect health and wellbeing of school-aged children and young people in and outside of school.
S105: Lead evidence-based interventions that are holistic, inclusive and responsive to the needs of school-aged children and young people.
S106: Evaluate the impact of intergenerational cycles of dependency and adversity on school-aged children and young people, and how protective factors, early help, and interventions improve health outcomes.
S107: Apply an evidence-based approach to identify vulnerability and inequality within the school-aged population, identifying those needing support and those at risk.
S108: Safeguard and prioritise support for school-aged children and young people most at risk, escalating concerns and provide specialist expertise for safeguarding and child protection pathways.
S109: Safely manage challenges and potential conflicts when applying safeguarding and child protection pathways to individual school-aged children and young people.
S110: Assess the risk for vulnerability in school-aged children and young people and families that are impacted by changes to their circumstances, to maximise access and support from relevant services.
S111: Foster positive relationships and facilitate inclusion, recognising the potential impact of stigma, bias and assumptions that people may make about school-aged children and young people.
S112: Use of validated tools to deliver holistic health assessments and programmed development reviews that aim to improve individual, community and population health outcomes.
S113: Critically analyse and apply specialist knowledge of the biopsychosocial, moral and spiritual development of school-aged children and young people at all key phases in the life course.
S114: Evaluate how age and biopsychosocial development influence communication skills in the school-aged population, using advanced communication techniques to facilitate positive, trusting relationships with school aged children and young people, parents, carers and families.
S115: Evaluate how biopsychosocial influences in adolescent years impact on behaviour, life skills and transition to adulthood, recognising adolescence as a distinct stage of the life course.
S116: Assess the impact of key transition periods and events for school-aged children and young people including starting and leaving school, change of care provider, illness and bereavement, and apply appropriate intervention to support their development of self-managing behaviours.
S117: Use a range of evidence-based interventions to support young people’s safe transition to adulthood.
S118: Optimise positive behaviours in parents, carers, families and peers and, through evidence-based interventions, promote trust and self-efficacy to improve health and wellbeing for school-aged children and young people.
S119: Support school-aged children and young people, parents and families to develop motivation and self-advocacy when raising awareness of opportunities for local grants, financial support and other local community assets and services.
S120: Use evidence-based observations, assessment and apply professional judgement when taking action to prevent and minimise the risk of adverse childhood experiences and build on protective factors to support and guide school-aged children and young people, parents and carers.
S121: Demonstrate knowledge and understanding of school aged children and young people’s emotional literacy, cognitive ability, wellbeing and resilience skills when observing, assessing and making decisions on the appropriate intervention.
S122: Use professional judgement to assess for early signs of low mood and anxiety in school-aged children and young people, and provide early interventions to support emotional and mental health and wellbeing.
S123: Evaluate how evidence-based interventions help school aged children and young people consider the impacts of and risks associated with specific behaviour choices related to social media, alcohol/substances, violence, exploitation and gang culture.
S124: Evaluate the effects of trauma on children and young people’s development and adjustment and use culturally appropriate, evidence-based, trauma-informed approaches to assess, support and monitor, using professional judgement when making decisions to refer to specialist services.
S125: Use community and population profiling to identify and assess health and wellbeing needs and priorities for school-aged children and young people.
S126: Lead, support and advocate for collaborative cultural and community developments that improve health and wellbeing in the school-aged population.
S127: Lead, co-design, provide and evaluate local health education, health promotion and safety campaigns aligned to key public health priorities for school-aged children and young people.
S128: Recognise the impact of the school environment, its culture and relationships that school-aged children and young people form and their effect on their health, wellbeing and achievement.
S129: Raise awareness of the impact of socio-economic disadvantage including digital poverty, and work with others to facilitate policy changes that support school aged children and young people to achieve their potential.
S130: Evaluate lived experiences which may impact on school aged children and young people’s behaviour, health and wellbeing, ensuring that their needs, rights and safety remain paramount and central to all planning interventions.
S131: Respect parents’ and carers’ need for autonomy and control with sensitivity to a wide range of attitudes, values, beliefs, expectations, faiths, cultures and approaches to parenting, using a transparent approach whilst simultaneously safeguarding the welfare of school-aged children and young people at all times.
S132: Synthesise data, information and intelligence related to home, school and community environments, and apply professional judgement to determine how this intelligence can be widely reported to positively influence policy and strategy to improve health and wellbeing.
S133: Evaluate existing services to identify gaps in available support for school-aged children and young people and develop strategies to maximise support and access to relevant services according to age and maturity.
S134: Advocate for school-aged children and young people in public health services, ensuring their voice is heard, supporting co-production, co-design and development at universal, targeted and specialist service levels.
S135: Design and lead the delivery and evaluation of evidence based school nursing services, educational campaigns and co-produced interventions aligned to regional and national public health initiatives to protect and promote the health and wellbeing of school-aged children and young people.
S136: Influence, advocate for and make decisions for the safety and wellbeing of school-aged children and young people at interagency meetings and hearings.
S137: Capture the lived experience and lived existence of school-aged children and young people and evaluate how this and other sources of evidence influences and informs current and future specialist practice, policy decisions and school nursing service design.
S138: Lead and promote visibility of school nursing services and ensure accessibility through engagement with school aged children and young people, parents, carers, families, school staff, other professionals and voluntary sector organisations.
S139: Design school nursing services which recognise and respect children and young people’s privacy and dignity.
S140: Critically analyse the opportunities, benefits and risks for school nursing services when communicating with school-aged children and young people face to face and via social media and virtual platforms.
S141: Work in partnership with relevant professionals and services to ensure the transition of support for school-aged children and young people to adult services mitigates risks and is positive, seamless and effective.

B1: Act in accordance with the NMC Code.
B2: Show leadership, act professionally and be professionally curious.
B3: Be self-reflective and aware.
B4: Be open and flexible.
B5: Be positive, resilient, proactive and influential.

Duties

Duty D1

Undertake autonomous specialist community public health nursing practice.

Duty D2

Transform specialist community public health nursing practice through evidence, research, evaluation and translation.

Duty D7

Promote human rights and address inequalities of school-aged children, young people and their families through assessment, surveillance and intervention.

Duty D8

Improve population health by: enabling, supporting and improving health outcomes of school-aged children and young people.

Duty D9

Advance public health services and promote healthy places, environments and cultures for school-aged children, young people and their families.

Duty D10

Lead and collaborate through investment to action and dissemination for school-aged children, young people and their families.

Occupational Progression

This occupational progression map shows technical occupations that have transferable knowledge and skills.

In this map, the focused occupation is highlighted in yellow. The arrows indicate where transferable knowledge and skills exist between two occupations. This map shows some of the strongest progression links between the focused occupation and other occupations.

It is anticipated that individuals would be required to undertake further learning or training to progress to and from occupations. To find out more about an occupation featured in the progression map, including the learning options available, click the occupation.

Progression decisions have been reached by comparing the knowledge and skills statements between occupational standards, combined with individualised learner movement data.

Technical Occupations

Levels 2-3

Higher Technical Occupations

Levels 4-5

Professional Occupations

Levels 6-7

Progression link into focused occupation.
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Level 6

This is the focused occupation.
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Level 7

Health and science