| Single Assessment Process - training materials community matrons The following listing is subject to ongoing review and revision... Identifying the development needs of community matrons [authors:Alison Pooler, Pam Campbell] (12 September 2006) Article in Nursing Times, 12 September 2006, pp 36-38. The aim of this research was to gain some insight into the needs of community matrons from both the practitioners' and managers' perspectives. Focus groups with community matrons in different PCTs were used. These groups identified that skills in physical assessment and prescribing were taken as prerequisites or essential to the role, and that the educational priorities were viewed as clinical education relating to the management of many long-term conditions linked to major causes of unplanned admissions. The preferred format for education appears to be work-based learning delivered by clinicians. It is concluded that PCTs need to ensure that community matrons have their learning needs assessed and to put in place systems of work-based learning that allow for appropriate development. Although matrons themselves may not initially see the value of non-clinical education, this will be vital to the long-term success of their role. Contact Details: Tel: | Fax: E–mail: | Web links: www.nursingtimes.net | Target group: HAs | Type / Format: article Availability / Price: | ISBN/ISSN: 09547762 Notes: Sea change or quick fix? Policy on long-term conditions in England [author: Bob Hudson] (July 2005) Article in: Health and Social Care in the Community, vol 13, no 4 pp 378-385. Long-term conditions is a policy area that has risen rapidly up the political agenda in England, culminating in the development of the National Health Service and Social Care Model in 2005, which is to be implemented over the following 2 years. The Model draws heavily upon US ideas of case management and proposes the creation of 3000 community matrons to undertake this role with the most vulnerable patients. Although welcomed in principle, the specific proposals in the Model have been subject to some criticism, and these issues are explored in this paper. The problematic areas include patient identification, transplanting US models to England, the role of case management, workforce and funding issues and the mix of medical and social models. The author concludes that there is a danger of long-term care policy developing an unduly health-focused approach at a time when the thrust of partnership working is towards an inclusive, whole-system model. Contact Details: Tel: | Fax: E–mail: bob.hudson@durham.ac.uk | Web links: | Target group: | Type / Format: article Availability / Price: | ISBN/ISSN: 09660410 Notes: Use of community matrons for care of long-term conditions [author: Mandy Bowler] (15 August 2006) Journal article in Nursing Times, 15 August 2006, vol 102, no 33, pp31-33. Improving care for people with long-term conditions has become a national priority and has led to many new - and often challenging - roles for nurses. This article describes the appointment of 12 community matrons to act as key workers and the use of their advanced clinical skills to improve the care offered to vulnerable patients with multiple long-term conditions. This article also makes reference to the June 2005 conference "Developing the Role of the Community Matron in Case Management : A Practical Guide" - the programme of which can be viewed at the website given below. Reference is also made to the Department of Health's policy guidance document, Supporting People with Long Term Conditions : an NHS and Social Care Model to Support Local Innovation and Integration (2005) - click on link below: View document Contact Details: Tel: | Fax: E–mail: | Web links: http://www.nursingtimes.net | http://www.ukhcc.com/event/rcm.html Target group: HAs | Type / Format: article Availability / Price: | ISBN/ISSN: 09547762 Notes: Department of Health, Supporting people with long term conditions liberating the talents of nurses who care for people with long term conditions [author: Department of Health - DH] (1 February 2005) Nurses play a central role in caring for people with long-term conditions. This paper (30pp) describes some of these roles, paying particular attention to the new clinical function of community matron. It presents examples in practice of experiences in implementing case management, including Evercare and Unique Care. Contact Details: Department of Health, PO Box 777, London SE1 6XH. Tel: 08701 555 455 | Fax: E–mail: dh@prolog.uk.com | Web links: http://www.dh.gov.uk/assetRoot/04/10/24/98/04102498.pdf | Target group: Nurses | Type / Format: book Availability / Price: FOC from the above address, or as download. | ISBN/ISSN: Notes: Other contact details: Professional Leadership Team, Room 5W06, Quarry House, Quarry Hill, Leeds LS2 7UE. Tel 0113 254 6057. Department of Health, Supporting people with long term conditions an NHS and social care model to support local innovation and integration [author: Department of Health - DH] (5 January 2005) The NHS and social care model is a blueprint to support local NHS and social care organisations in improving local services to people with long-term conditions. It draws on existing successes and innovations for the NHS and social care and international experience, to help local health communities to develop a more integrated systematic approach. This "Improving care, improving lives" document (44pp) includes examples of case management and disease-specific care management to illustrate how the model should work. View document Contact Details: Department of Health, PO Box 777, London SE1 6XH. Tel: 08701 555 455 | Fax: E–mail: dh@prolog.uk.com | Web links: | Target group: Nurses | Type / Format: book Availability / Price: FOC from the above address, or as download. | ISBN/ISSN: Notes: Other contact details: Long Term Conditions Team, Room 4N26, Quarry House, Quarry Hill, Leeds LS2 7UE. Tel 0113 254 6070 National Primary Care Research and Development Centre Evaluation of the Evercare approach to case management of frail elderly people executive summary [authors: Ruth Boaden, Mark Dusheiko, Hugh Gravelle (et al)] (November 2006) Case management for frail older people aims to combine both preventive and responsive care for patients at high risk of deterioration in their health. Case management is also a key componet of the government's Community Matron policy. Evercare is a form of case management which was introduced in nine pilot Primary Care Trusts (PCTs) by UnitedHealth Europe in 2003; and this evaluation outlines the main findings of PPCRDC's evaluation of Evercare carried out between 2003 and 2005. NPCRDC found that the Evercare approach to case management provided additional contacts, monitoring and treatment options that were highly valued by patients and their carers. However, although there were individual examples of avoided admissions, there was no overall effect on emergency hospital admissions. More detailed results are available in the full report, "Evercare evaluation: final report". Contact Details: Martin Roland, Project Lead, NPCRDC, 5th floor, Williamson Building, The University of Manchester, Oxford Road, Manchester M13 9PL. Tel: 0161 275 7610 | Fax: 0161 275 0611 E–mail: npcrdc-commsunit@manchester.ac.uk | Web links: http://www.npcrdc.ac.uk/es42 | http://www.npcrdc.ac.uk/pr33. Target group: HAs | Type / Format: report Availability / Price: FOC from the above address or Web link 1; Full report, Web link 2 | ISBN/ISSN: Notes: National Primary Care Research and Development Centre (NPCRDC) Impact of case management (Evercare) on frail elderly patients controlled before and after analysis of quantitative outcome data [authors: Hugh Gravelle, Mark Dusheiko, Rod Sheaff (et al)] (6 January 2007) Article in: British Medical Journal, vol 334 no 7583, pp 31-34. Case management aims to improve outcomes in patients, and particularly to reduce unplanned hospital admission. In 2002/3, nine Primary Care Trusts (PCTs) piloted case management of older people selected as being at high risk of emergency admission. Rates of emergency admission, emergency bed days, and mortality from April 2001 to March 2005 in 62 Evercare practices were compared with those of 6960 to 7695 control practices in England (depending on the analysis being carried out). The intervention had no significant effect on rates of emergency admission, emergency bed days for a high risk population aged 65+ with a history of two or more emergency admissions in the preceding 13 months. For the general population aged 65+, effects on the rates of emergency admission, emergency bed days and mortality were also non-significant. Case management of frail older people introduced an additional range of services in primary care without an associated reduction in hospital admissions. This may have been because of identification of additional cases. Employment of community matrons is now a key feature of case management policy in the NHS in England. Without more radical system redesign, this policy is unlikely to reduce hospital admissions. Contact Details: Martin Roland NPCRDC, 5th floor, Williamson Building, The University of Manchester, Oxford Road, Manchester M13 9PL. Tel: | Fax: E–mail: m.roland@manchester.ac.uk | Web links: http://www.bmj.com | Target group: HAs | Type / Format: article Availability / Price: Available as a downloadable document from BMJ website. | ISBN/ISSN: 09598138 Notes: This article is the abridged version of a paper published on bmj.com on 15 November 2006. |