Naval Nursing Board

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  • Created by: Kat
  • Created on: 12-11-13 13:20

Mediaeval time

In mediaeval times the most a sick or wounded seaman could hope for was assistance from one of the various religious orders or establishments throughout the country.The medical aid he received there was in the tradition of the times - leeches, bleeding and other dire remedies

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medical aid scheme

It was two famous Admirals, Hawkins and Drake, who in 1590 became aware of the plight of sick seamen and instigated a medical aid scheme whereby each parish gave a small weekly sum for the care of its invalid sailors. In 1604 the scheme became compulsory and all sailors had to contribute a small sum out of their pay.The system eventually foundered due to mismanagement and heavy debts.

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First hospital

Records show that in 1689 the first hospital entirely for Naval patients was built at Plymouth.

Haslar, in Gosport, was built and opened in October 1753. At this time the sick at Haslar were cared for by the widows of sailors and marines or by old pensioners who happened to live nearby. Many of the women were of "ill repute", often drunk and frequently thieves.

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on board ship

On board the ships, care of the sick seamen and wounded rested on seamen and marines who drifted towards this work - or were detailed to do it. They were known as loblolly boys, said to be so named after the porridge they brought to the sick.

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James Lind

One of the early Physicians in charge of Haslar was James Lind MD, who has been called the "Father of Nautical Medicine". He wrote a treatise on that scourge of seamen known as scurvy and was one of the first to realise that lemon juice could be used to control the disease.

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Sir Thomas Spencer Wells

Sir Thomas Spencer Wells Bt MD, inventor of the haemostatic forceps which are still in universal use, served in the Royal Navy between 1841 and 1856.

When he first joined the Navy he was at Haslar for several weeks and his name is to be found in the Visitors' Book. When in later life he became a leader of surgery in London he used his influence to improve the conditions of service of the Naval Medical Officer.

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Mrs Eliza Mackenzie

In 1854, during the Crimean War Mrs Eliza Mackenzie (pictured above) led a party of six experienced nurses to the Navy's base hospital at Therapia, near Constantinople. These ladies pioneered ultimately for the Naval Nursing Officers.

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1884

A committee investigating the state of affairs in 1883 found that improvements ashore were very necessary. By 1884 a certified Naval Nursing Service staffed by trained nurses was brought into being: six nursing sisters were appointed to Haslar and five to Plymouth. Boys were recruited from the Greenwich Hospital school to form the beginnings of the Sick Berth Attendant Branch.

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1902

In 1902 Her Majesty Queen Alexandra (pictured above) signified that it was her gracious pleasure to become President of the Nursing Staff, which was known thereafter as Queen Alexandra's Royal Naval Nursing Service

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QARNNS Reserves

In 1910 the principal civilian hospitals agreed to supply nurses at short notice in the event of war and the nucleus QARNNS Reserve was formed. In 1914 these same hospitals supplied large numbers of their Nursing Staff to augment the regular Service at the outbreak of war. The Voluntary Aid Detachment of the British Red Cross and the St John Ambulance Brigade also produced many volunteers.

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QARNNS

After the war in 1949, a Medical Branch of the Women's Royal Naval Service was formed and WRNS Sick Berth Attendants were trained. They were replaced in 1960 when a Naval Nurse section of the Queen Alexandra's Royal Naval Nursing Service came into being.

The remaining Voluntary Aid Detachment nurses were given the option of joining the newly formed QARNNS Auxiliary Branch, as Naval Nurse ratings, thus giving a two-tier QARNNS. In 1982 an integrated nursing service was established to allow male nurses to serve as officers and ratings in QARNNS.

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QARNNS today

In recent years QARNNS personnel have been called in to fulfil a war-time role in the Falklands in 1982, in the Gulf War of 1991 and in Iraq from 2003. They now serve regularly in Afghanistan supporting land operations.

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Todays patron

Today the QARNNS Patron is HRH Princess Alexandra - the great-granddaughter of its first President, Queen Alexandra.

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Captain Inga J Kennedy QHNS QARNNS

Head of the Naval Nursing Service

It is a great honour to take up the role as HNNS and indeed QHNS. Having taken time to review the range of challenges faced by QARNNS, it is her intent to reach out to all nurses, listening to their views, while developing a strategy that will allow us to follow a number of lines of development, ensuring that QARNNS continue to meet the needs of Defence, now and into the future.

Capt Kennedy is a Registered Nurse, Midwife and Nurse Lecturer, has undertaken post-graduate studies in Education and has had the opportunity to attend the Ashridge Leadership and Management Centre as well as the Royal College of Defence Studies as an Associate.

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QARNNS Role

QARNNS personnel function within a variety of assignments and environments that directly or indirectly influence effective healthcare outcomes. 

As a key component of the Royal Navy and Defence Medical Services, QARNNS support a number of capabilities:

In peacetime; Primary Healthcare, Secondary Healthcare and Mental Health.

On Operations; Role 1, 2 and 3 Ashore and Afloat.  These encompass the Maritime and Littoral Manoeuvre environments, support to 3 Cdo Brigade and joint land Operations.  In addition, UK home based Operations at Role 4.

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QARNNS Strategy

QARNNS is committed to the delivery of a successful, competent, competitive and sustainable Naval Nursing workforce fit for the 21st Century.

In order to sustain this strategy, six strategic human resource themes have been identified as pivotal to the long-term success of QARNNS.  This Human Resource based strategy has at its core the maximising of potential talent and each of these strategic themes is interlinked to enhance performance.

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Attracting and Recruiting

QARNNS recognises that it is competing in local, national and international recruitment markets for high quality personnel. In order to lever competitive advantage we need to understand and positively promote the benefits of working in QARNNS. As QARNNS recruits the majority of its personnel from the bottom up, either into the Rating or Officer stream, growth and investment is pivotal to the creation and maintenance of a talent pool from which expertise, talent and contribution can be maximised.

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Reward and Recognition

QARNNS will address the recognition and reward of its personnel through the following strategic objectives:

  • Policies  that incentivise and reward personnel who deliver QARNNS objectives
  • Transparency, fairness and equality of opportunity are ensured
  • Further  development of our leadership and management capability
  • To structure, and make informed career progression paths for all personnel
  • Promote the benefits of working in QARNNS and maximise the opportunities of  working within the single Service and Joint environments
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Management of Performance

QARNNS recognises that the management of performance at organisational, unit and individual level is key to the delivery of medical operational capability.

The aim of the strategy is to develop leaders and managers to manage performance in such a way that staff:

  • Know  and understand what is expected of them
  • Have the skills to deliver what is expected of them
  • Are  given feedback on their performance
  • Have the opportunity to engage with the development of individual, unit and organisation-wide objectives.

The sharing of knowledge and expertise, and highly effective team working, is recognised as a significant enabler of the implementation of QARNNS strategy.

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Leadership and Management Development

Our strategic leadership and management development objectives are to:

  • Develop leaders and managers in accordance with naval Service values and desired leadership behaviours
  • Define the role of leaders and to measure performance accordingly
  • Equip leaders to lead and manage change 
  • Recognise  the pivotal role of managers in the change process and provide appropriate support
  • Identify leadership potential and put in place the appropriate succession planning policies 
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Learning and Development

The strategic learning and development objectives are to: 

  • Embed learning and development planning based on appropriate modelling of our  current and future nurse requirements in the strategic planning process
  • Develop  a culture of continuous and advanced learning that values coaching and mentoring and is supported by reward and career progression polices
  • Maintain  and further develop internal educational programmes to provide graduate  and advanced level nurse requirements
  • Develop  leaders and managers to coach, mentor and develop their personnel using  this as a performance measure of high quality leadership and management 
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Personnel Engagement

The need to engage personnel with our strategic objectives and to have their committed support is paramount to the delivery of our strategic objectives.  Leadership and management capability is core to achieving staff engagement.  

The strategic personnel engagement objectives are to: 

  • Embed  learning and development planning in the strategic planning process
  • Promote  effective team working as a means of supporting staff engagement in a wide range of QARNNS activities
  • Develop new approaches to consultation processes that are flexible and responsive to the needs of QARNNS
  • Develop innovative communication and engagement practises which can utilise technological advances
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BATUS Deployment

LNN Sarah Chapman

British Army Training Unit Suffield is a unit situated in the vast training area of the Canadian Forces Base Suffield, Alberta Canada. My deployment to BATUS was for winter relief over the months of January to April. During the winter months, some specialist warfare training is conducted by the Canadian Forces while the UK fleet is prepared for the following year.

My role as a nurse was medical cover at the BATUS Medical Centre. The medical centre at BATUS offers primary healthcare to all UK personnel, both temporary and permanent staff assigned to BATUS, and all dependants. My primary role was as a ward based nurse, attending to soldiers in the ten bedded ward facility

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HMS ILLUSTRIOUS. Naval Nurse

LNN Marie Batten,  currently serving aboard HMS ILLUSTRIOUS.

The last 6 months onboard HMS ILLUSTRIOUS has proved both extremely challenging but also rewarding.  My previous experience on RFA Ships provided some preparation however, the Ship’s Company onboard LUSTY soon helped to enhance my ‘Matelot knowledge’.

The impending calendar bears to be just as busy, with FOST training looming as part of our preparation for Cougar 2013.

16 Doctors, Nurses and Allied Health Professionals joined LUSTY to exercise the Role 2 capability.  This increased the QARNNS compliment from one to six for 2 weeks in Oct 12!

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Afganistan

During a recent deployment to Afghanistan as an Emergency Nurse in the Role 3 Hospital in Camp Bastion, Lt Tom Wardley was also utilised in a training role at Shorabak, an Afghan National Army camp.  Another example of the QARNNS really getting out and about!

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Operation Olympics

The Armed Forces helped celebrate Olympic sport by contributing to ceremonial elements of the Games including: the Olympic Torch arrival and relay, the arrival of Olympic teams in Great Britain, and during the opening, closing and medals ceremonies.

Lt Anna dé-Saint-Bissix-Croix QARNNS led Team F during Op Olympics; proud to raise the Union flag for Gemma Gibbons who won silver and Karina Bryant who secured a bronze medal (pictured below).

128 flags were hoisted in 32 Olympic Victory ceremonies over three weeks by Team F. Each flag was checked, steamed, checked again, folded and hoisted in front of the 10,000 spectators at the ExCel arena, firstly for the Judo then the wrestling.

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Matron - RFA Argus

Commander Neale Piper

In Sept 12 he assumed the duty of Matron of the Primary Casualty Receiving Ship RFA Argus - the Maritime Role 3 medical operational capability.  He holds a Post Graduate Diploma in Strategic Management and Leadership and is currently studying for a PG Certificate in Integrated Governance at Westminster University.

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RFA Argus

The principal role of RFA Argus is to serve as a Primary Casualty Receiving Ship (PCRS). She has a fully equipped 100-bed hospital onboard offering full services. This includes a four-bay Operating Theatre coupled with a 10-bed Critical Care Unit, a 20-bed High Dependency Unit and a CT scanner.

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RFA Argus 2

RFA Argus does not comply with the Geneva Convention’s definition of a ‘hospital ship’ as she is fitted with self-defence guns and decoys and may have operational units embarked. Thus RFA Argus is not classified as a hospital ship and does not display the International Red Cross symbol.

Her secondary role is to provide specialist aviation training facilities.

RFA Argus has a flexible design which enables her to fulfil additional roles. As a logistic ship she can be adapted to transport large amounts of equipment quickly.

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RFA Argus 3

RFA Argus spent a hefty chunk of 2012 on the duties of APT-(N), and returned to Portland in December last year after seven months away on counter-drugs and disaster-relief patrol around the US and Caribbean. The ship represented the UK during the United State's 1812 Bicentenary celebrations, and for four weeks joined a procession of sail to Norfolk, Baltimore and Boston.

Having completed a short refit RFA ARGUS is preparing to undertake Operational Sea Training

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KEY STATISTICS

Breadth

30.4 Metres

Endurance

20,000 Nautical Miles

Length of

175.1 Metres

Compliment

80 Personnel

Weight

18,280Tonnes

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Falklands War

RFA Argus was one of the ships taken up from trade (STUFT) by the MoD for use in the 1982 Falklands War. During this period she was utilised as an aircraft transport, ferrying helicopters and harriers on deck.
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RFA Argus 4

RFA Argus is a ship of the Royal Fleet Auxiliary, part of the Royal Navy Italian-built, Argus was formerly the container ship MV Contender Bezant. The ship was requisitioned in 1982 for service in the Falklands War and purchased outright in 1984 for use as an Aviation Training Ship, replacing RFA Engadine. In 1991, during the Gulf War, she was fitted with an extensive and fully functional hospital to assume the additional role of Primary Casualty Receiving Ship. In 2009, the PCRS role became the ship's primary function.

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RFA Argus 5

Argus was fitted with a fully functional hospital for the 1991 Gulf crisis, which has since been modified and extensively added to with specialist equipment, providing 100 beds. The ship is equipped with an Intensive-care unit, and can provide medical x-ray and CT-scan services. Casualties can be quickly transferred from the deck directly into the assessment area. In recent years the ship's role as a Primary Casualty Receiving Ship has been considered her primary role rather than its aviation training duties.

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RFA Argus 6

In 2007 the ship was refitted with upgraded hospital facilities (replacing the forward aircraft lift with a ramp for emergency exit for hospital trollies and patients as well as two 50-man passenger lifts that lead to a new structure erected on the flight deck), generators and aviation systems (the ship is due to receive an upgrade to its night-vision capabilities enabling the use of WAH-64 Apache helicopters) to give an operational life until 2020.

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2000-01

During times of war RFA Argus acts as a floating hospital with two full wards and mortuary. The hospital was utilised in this way was off the coast of Freetown in 2000-01, in support of British operations against the rebel West Side Boys

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RFA Argus 7

In 2003 Argus was deployed again to the Gulf as part of a 33 ship fleet to support a British amphibious assault of the Al-Faw Peninsula. Argus operated in its PCRS role.

In 2008 she deployed to the Middle East to act as a platform for Sea King ASaCs7 helicopters.

Argus operated as the Primary Casualty reception ship with British task group during Operation Telic.

In June 2011, Argus was operating in the Middle East around Yemen.

In August 2011 Argus was at Falmouth and was a filming location for the 2013 film World War Z  Originally she was to portray the fictional "USS Madison (LHD-19)" but in the final cut of the film, appeared as "U.N. Command Ship USS Argus."

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2012

In mid-May 2012 the vessel, with embarked forces from the Royal Marines and Fleet Air Arm, including an embarked Super Lynx helicopter and the newly formed Humanitarian and Disaster Relief Team, set sail for North America to support potential humanitarian operations during the Hurricane season.

Their primary mission will be supporting the British Overseas Territories as well as other Commonwealth Realms should they require assistance, they will also be maintaining the constant Royal Navy presence within the wider region.

 Before commencing her disaster relief mission the ship will engage in multinational exercises and celebrations commemorating the War of 1812 with units from the US Navy as part of OpSail 2012

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2013-

The ship has been used to train the next-generation Lynx Wildcat.

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RFA Argus Complement

Complement: 80 RFA
50 RN
(Part of the Maritime Aviation Support Force)
137 RN air squadron personnel (When embarked)
200 Nursing and Medical Staff (When the Hospital is activated)

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Preventing Conflict

Preventing conflict through deterrence:

Naval Operations:  The provision of the UK’s Continuous, at sea nuclear deterrent.

The South Atlantic: Through their constant presence in the South Atlantic since 1982, the Royal Navy, Army and RAF have together deterred further threats to the security of the Falkland Islands.

Operation Armilla and its successors: For over 30 years the RN has been operating in the Gulf region, preventing the disruption of energy supplies and containing the effects of conflict in the region.

Operation Calash: Working alongside a multinational naval task force countering the de-stabilizing consequences of terrorism, piracy and smuggling.

Northern Europe: Working with NATO across the North Atlantic and Mediterranean to maintain security and stability across the region.

Far East: Providing a global presence to maintain support to UK interests and protect vital sea lines of communication in the region.

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Security at Sea

The Royal Navy and Royal Marines work with international partners to provide global maritime security on the high seas wherever our interests need protecting.

We in the UK are reliant on global trade for our prosperity. This means we have a vested interest in supporting international efforts to maintain good order at sea by delivering maritime security and preserving the free, safe and lawful use of the high seas.

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International Partnerships

The Royal Navy and Royal Marines promote stable and co-operative relationships with other maritime nations around the world. They operate and exercise frequently with allies, coalition partners and many others to build the trust and understanding that contributes to stability in regions of interest to the UK. 

A global economy requires a common international approach to issues such as terrorism, climate change and competition for natural resources which transcend national boundaries. The Royal Navy can assist the government in this objective by working with other navies to help build their counter terrorism and counter piracy capabilities.

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Humanitarian Assistance

The Royal Navy provides humanitarian aid and practical assistance whenever disasters strike. Because the Royal Navy is globally deployed, it very often has ships and skilled military personnel on hand to deliver immediate assistance and is uniquely placed to help

The RN has an enviable reputation for providing humanitarian assistance and aid around the world.

The Service has well-trained and equipped ships and personnel for these tasks to be on hand to help the six UK dependent territories in the Caribbean during the hurricane season. It has provided assistance in other parts of the world such as Sri Lanka in the aftermath of the tsunami and in Lebanon where it evacuated over 4,000 UK-entitled people in just six days.

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Protecting our Economy

As an island nation, the UK depends on maritime trade for its prosperity. 95 per cent of Britain’s economic activity, imports and exports, travels by sea. By protecting the sea-lanes, the Royal Navy and Royal Marines contribute to the stability, economic growth and development of the UK. 

As a maritime nation, the UK’s economic prosperity depends on seaborne trade travelling unhindered through a network of international sea lanes. These lanes are the arteries of the global economy. Disruption to, or attack on, maritime trade would have a severe impact on the UK’s economy and the daily life of UK citizens.

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Ready To Fight

The Royal Navy and Royal Marines are ready to fight and win in combat at sea and from the sea. Maritime forces in international waters have complete independence of action and are able to roam the globe freely, enabling the UK Government to employ military force at a time and place of its choosing without having to rely on the help of other nations. 

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Recent and current operations include:

• Supporting the UN resolution in Libya (2011)

• Fighting the Taliban in Afghanistan through frequent deployments of RN and RM personnel

• UK amphibious landings on the Al Faw peninsular. OP Telic (2003)

• The mass evacuation by sea of UK nationals from the Lebanon during the Israeli-Hiz’bollah conflict 2006

• Supporting the government of Sierra Leone to prevent the outbreak of civil war (2000)

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Assault Ships

The four ships which form the core of the Royal Navy’s amphibious fleet are helicopter carriers HMS Illustrious and Ocean and assault ships HMS Albion and Bulwark – the latter is also Britain’s flagship. With the exception of Portsmouth-based Illustrious, the amphibious force – which deploys as part of the UK’s Response Force Task Group – is concentrated in Devonport, close to many of the Royal Marines’ assault and raiding units, and the commandos’ training centre in Lympstone.

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Type 45 Destroyers

Britain’s six Type 45 destroyers are the most advanced warships the nation has ever built. Their mission is to shield the Fleet from air attack using the Sea Viper missile which can knock targets out of the sky up to 70 miles away if necessary. The Type 45s can also be used as general-purpose warships; they have huge flight decks to accommodate helicopters up to the size of a Chinook. There’s enough space on board to host a Royal Marines detachment up to 60-men strong. All Type 45s will be based in Portsmouth and will serve until around 2040. HMS Daring

HMS Dauntless

HMS Diamond

HMS Dragon

- Our Forum

HMS Defender

HMS Duncan  

 

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Type 23 Frigates

The thirteen Type 23 – or Duke-class – frigates are the core of the front-line Fleet. They can typically be found east of Suez, safeguarding Britain's vital maritime trade routes or Britain's interests in the South Atlantic. Based in Portsmouth and Devonport, the ships were designed to deal with the Soviet submarine threat – but in the 20 years since the fall of Communism, the frigates have proven their versatility by dealing with virtually every mission imaginable in the four corners of the globe - as well as maintaining that original mission of submarine hunting, aided by the world's finest sonar and either a Merlin or Lynx helicopter.

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Patrol Ships and Minehunters

Patrol Ships and Minehunters are the smaller fighting ships of the Royal Navy. The world-leading mine countermeasures ships keep the sealanes safe from unexploded ordnance, while offshore patrol vessels play an important role in UK home waters by enforcing fishery laws and providing a presence in UK oil and gas fields. The smaller inshore patrol boats are adept and flexible units providing support to the Fleet and a unique insight to the Royal Navy for university students.

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Afghanistan

Operation Herrick – operations to prevent Afghanistan from again becoming a safe haven for terrorists, and to build security and government institutions so that the progress of recent years becomes irreversible. We are in support of a UN mandated, NATO-led mission, the International security Assistance Force (ISAF). 

The Royal Navy and the Royal Marines have been a key part of these efforts since the UK committed to the region.

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Gulf

Our maritime presence is a demonstration of our continued commitment to enduring peace and stability, comprising: a command element, the United Kingdom Component Command (UKMCC), responsible for the wider region, across the Gulf and Indian Ocean, exercising command and control of the RN and RFA ships and cooperating within a 26-nation maritime force. 

UK also has strong political, commercial and trading links in the region and units of the Royal Navy and Royal Fleet Auxiliary have been on patrol in the Gulf permanently, 24/7 since October 1980, following the start of the Iran/Iraq conflict. 

Despite the Iraq mission ending, the Royal Navy remains heavily engaged in the Gulf. There is typically at least one escort, supported by a tanker of the Royal Fleet Auxiliary, employed by UKMCC on Maritime Security patrol, plus a four-strong squadron of minehunters with a Royal Fleet Auxiliary support ship at notice within the operational area.

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Cougar 13

Cougar is the Royal Navy's long planned deployment of 2013, testing the ability of the newly-formed UK Response Force Task Group to deal with major events thousands of miles from home

The deployment will see elements of the UK’s Response Force Task Group (RFTG) – the naval force formed under the 2010 Strategic Defence and Security Review – hone its world class maritime skills thousands of miles from home through exercises with a number of key allies.

Four Royal Navy warships, the Lead Commando Group from 3 Commando Brigade Royal Marines and elements of Naval Air Squadrons will be supported by five vessels from the Royal Fleet Auxiliary as they head out to the Mediterranean for a three-month training deployment – 2013's key workout of the UK’s high-readiness task force.

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The South Atlantic Overseas Territory

The South Atlantic Patrol is the Navy's standing commitment to the region in order to reassure the Islanders and maintain a sovereign presence around the South Atlantic Overseas Territories.

The South Atlantic Overseas Territory presents one of the harshest working environments for any Royal Navy Ship's Company. The Territory is nearly 8,000 nautical miles from the UK and is subject to strong winds and high sea states. This environment requires the highest level of professionalism to operate in safely.

The Royal Navy has a patrol vessel on constant patrol around these waters in order to watch over the South Atlantic Overseas Territory.

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Middle East

The Royal Navy (RN) has an array of ships on operations in the Middle East ranging from mine-hunters, hydrographic survey vessels and frigates in the Gulf, to the Royal Marines and naval air squadrons in Afghanistan. Why we are there: The Middle East is a politically unstable part of the world. The Royal Navy serves to preserve peace in the region, protect the oil fields of the Northern Gulf, as well as conducting hot climate training.

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UK

The Royal Navy's Fleet Air Arm provide Search and Rescue cover to large sections of the United Kingdom coastline, 24 hours a day and 365 days per year, typically at 15 minutes notice. 

The mission of the FPS is to patrol the fishery limits of England, Wales and Northern Ireland - an area that covers over 80,000 square miles of sea and stretches up to 200 miles from the coastline.

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Caribbean Patrol

The Navy has a near constant presence in the Caribbean and the North Atlantic. We send vessels to this region to act as a deterrent to drug smugglers. The Navy has been involved in countless counter-narcotic operations over the years, preventing millions of pounds worth of drugs reaching UK shores

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The Aims of the Programme are to

Prepare students to demonstrate competence and confidence in achieving the NMC (2010) generic and field specific standards ensuring they; 
1. Develop their knowledge, skills and professional values to deliver high quality essential care to all, and deliver complex care to service users in their field of nursing practice. 
2. In nursing practice, act in a compassionate, respectful way; maintaining dignity and wellbeing and communicating effectively. 
3. Act on the understanding of how people’s lifestyles, environments and the location of care delivery influences health and wellbeing and the delivery of nursing. 

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The Aims of the Programme are to

4. Seek out every opportunity to promote health and prevent illness. 
5. Use leadership skills to supervise and manage others and contribute to planning, designing, delivering and improving future nursing services. 
6. Develop the ability to critically analyse research findings and apply best evidence to nursing practice. 
7. Develop reflective practice and a lifelong commitment to continuing professional development and other academic and professional activities.

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Learning Outcomes

On successful completion of the whole programme, students will be able to demonstrate: 
1. Fitness for purpose, practice, professional standing and the academic award in the appropriate field of nursing. 
2. The ability to safeguard the public and be responsible and accountable for safe, person-centred, evidence-based nursing practice. 
3. Partnership working with other health and social care professional and agencies, service users, carers and families ensuring that decisions about care are shared. 
4. Professionalism and integrity, and work within agreed professional, ethical and legal frameworks and processes to maintain and improve standards of care.

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learning outcomes

5. Critical appraisal skills, evaluation and problem solving approaches to evidence base decision-making in nursing practice. 
6. Leadership, delegation and supervisory skills that will continually enhance practice development.

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Year 1 - Level 4

Core Module 
Professional Values & Academic Skills (30 Credit Double Module)  

Core Module 
Introduction to Nursing Practice & Decision Making (30 Credit Double Module)  

Core Module 
Health in Society (30 Credit Double Module) 

Field Specific Module 
Adult Nursing Practice 1  (30 Credit Double Module)

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Year 2 - Level 5

Core Module   
Professional Values & Evidence Based Practice (30 Credit Double Module)  

Field Specific Module 
Adult Nursing  Practice 2  (30 Credit Double Module)  

Core Module  
Nursing in Society (30 Credit Double Module) 

 
Field Specific Module  
Adult Nursing Practice 3 (30 Credit Double Module)

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Year 3 - Level 6

Core Module   
Policy, Politics and Nursing (30 Credit Double Module)  

Field Specific Module  
Adult Nursing Practice 4  (30 Credit Double Module)   

   
Field Specific Module 
Adult Academic & Practice Enquiry  (30 Credit Double Module) 

Field Specific Module 
Adult Transition to Qualified Practitioner (30 Credit Double Module)

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