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This presentation will provide a brief summary of relevant policies and guidance, discuss the process taken to develop a course, share the student perspective, and explore the future of community matrons and case managers in meeting educational requirements.
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“Meeting Educational requirements for a Community Matron/Case Management role from a HEI’s Perspective” Vicky Kaye Senior Lecturer Primary Care
Aim of the Presentation • Brief summary of relevant policy & guidance • Process taken • Course development • Student perspective • The Future & any questions
Setting the Scene • The NHS Plan: A Plan for Investment: A Plan for Reform (DH, 2000) • Agenda for Change (DH, 2004) • Knowledge and Skills Framework (DH, 2004) • Supporting People with Long Term Conditions: An NHS and Social Care Model to Support Local Innovation and Integration (DH, 2005) • Case Management competences framework for the care of people with long term conditions (DH, 2005)
Setting the Scene • Case Management competences framework for the care of people with long term conditions (DH, 2005) • Our Health, our care, our say: a new direction for community services (DH, 2006) • Caring for people with long term conditions: an education framework for community matrons and case managers (DH, 2006) • Quality Assurance Agency for Higher Education Professional Code (QAA, 2006)
Working with Local PCT’s • Stakeholder event (2005) • Practitioners (practice teachers, district nurses) • Managers • SHA • University Staff • NMC • Planning & Validation • University procedures (validation early 2006)
1st Course – PgCert LTC • Core Module • Meeting the Needs of People with LTC (30 M credits • Optional Modules • Practice Role Development (15 M credits) • Mental Health & Mental Illness (15 M credits) • Approaches to Case Management (15 M credits) • PgCert LTC = 60 M credits
University approached by local PCT (mid 2006) • Self Assessment Questionnaire • Community Matrons • District Nurses • G & H Grade Nurse • Individual Interviews
Summary of Findings • Advanced Clinical Skills (CM’s) • Cognitive Impairment & Mental Well-being (CM’s & DN’s) • Proactively Manage Complex Conditions (managing clinical events – CM’s & DN’s) • Identifying high Risk People, promoting & preventing ill health (evaluation methodologies, ethics – CM’s & DN’s) • Interagency and Partnership Working (advanced conflict & dispute management – CM’s & DN’s)
Developing Curriculum • Modular • Flexible • Links to: • National Policy • Educational Framework • Knowledge & Skills Framework • Self Assessment • Existing Skills & Competence
Revised PgCert LTC • Core Module (30 M credits • Optional Modules (from eleven) • Policy & Advanced Professional Practice (15) • Consultation, communication & Change (15) • Independent & Supplementary Nurse Prescribing (30) • Supplementary Prescribing (AHP’s) (30) • Critical Issues in community Care & Care Management (15) • Case Management of People with Long Term Respiratory Conditions (15) • Advanced Clinical Assessment skills (15) • & Original options
Student Comments “I acknowledge I need greater awareness, understanding and skills to assess respiratory problems to enable me to deliver my role effectively” LT “In conclusion this case study has been extremely rewarding. It has provided me with an increase of knowledge and skills to provide accurate and holistic care for the patient” SK
“Feedback for the patient has been positive” NB “The case study helped develop advanced clinical decision making skills and prompted a multidisciplinary approach to managing complex care” ST “The patient gave reassurances that she had felt the benefit for cognitive behavioural therapy, happy with the outcomes” JW
The Future • Any questions?
References Department of Health (2000) The NHS Plan: A Plan for Investment: A Plan for Reform. London, DH Department of Health (2004) Knowledge and Skills Framework. London, DH Department of Health (2004) Agenda for Change. London, DH Department of Health (2005) Supporting People with Long Term Conditions: an NHS and Social Care Model to Support Local Innovation and Integration. London, DH
References Department of Health (2005) Case management competences framework for the care of people with long term conditions. London, DH Department of Health (2006) Our Health, our care, our say: a new direction for community services. London, DH Department of Health (2006) Caring for People with Long Term Conditions: an educational framework for community matrons and case managers. London, DH Quality Academic Assurance (2006) Code of Practice for the Assurance of Academic Quality and Standards in Higher Education. [online] Available at: <http://wwwqaa.ac.uk/academicinfrastructure/codeofpractice/default.asp> [accessed 8 August 2007]