Key Facts

Module Title: NUR-40056 Working in Partnership to Support People with Long Term Conditions
Mode of Study:Part-time
Contact Details:Contact Course Administration Office
Faculty: Faculty of Medicine and Health Sciences
Fees: Click for details

This specialist module has been developed at Masters level in response to the skills required of practitioners across a range of disciplines to meet the needs of the increasing number of people with long term conditions (Skills for Health 2008; DH, 2012). Development has included consultation with individuals with long term conditions, stakeholders and clinicians across the health and social care economy.The module acknowledges the students professional background and develops a whole systems approach to supporting the individual and their family/carer. This is enhanced by the provision of an interprofessional learning environment. A blended learning approach is utilised including Keele Learning Environment (KLE) delivered by a combination of classroom and web based activities and resources.

There is an emphasis on effective communication, empowering self-care, management and prevention for individuals with long term condition(s); equipping the student with the skills to actively engage in this process (DH, 2007; 2012). The module seeks to develop the expertise of the practitioner to work in partnership with the individual, their family/carers, health and social care practitioners and related services addressing the quality requirements laid down within Chapter 2 of the NSF for Long Term Conditions (DH 2005) and further developed in the Five year forward view (NHS England, 2014). Embedded within this is the recognition of the diversity of individuals and the significance this has on the management of long term condition(s). The commitment of health and social care providers to provide timely access to appropriate services and support mechanisms is recognised with a focus on partnership working within and across primary and secondary care including all agencies e.g. health, social care and the third sector.

The module is appropriate for a wide range of clinicians who come into contact with individuals with long term condition(s), across a variety of settings i.e. (primary and secondary care, third sector provision and other acute care settings).

The aim of the long term conditions module is to enhance evidence based knowledge and analytical skills in assessing, planning, implementing and evaluating care that the individual person, family/carer receive in relation to the management of long term condition(s).

  • Normally hold a professional registration with an appropriate body and normally be working within a care setting relevant to the module.
  • Evidence of level 6 academic work or equivalent.

Module content will include:

  • Epidemiology of long term conditions.
  • The principles and application of models of managing people with long term condition(s): to include the management of people for supported self care, disease-specific case management, and high intensity users of unplanned secondary care (DH, 2007; 2012; 2015; NHS Year of Care Partnerships, 2015; NSF’s; NICE guidelines; Kaiser Permante).
  • Awareness and critical evaluation of the evidence, current research, NHS strategy and policy supporting the management of long term conditions; specific NSF’s coronary heart disease (CHD), heart failure, stroke and transient ischemic attack (TIA), hypertension, diabetes, chronic obstructive pulmonary disease (COPD), epilepsy, cancer, severe mental health conditions, asthma, and other acknowledged long term conditions (DH, 2012) such as chronic kidney disease, dementia, depression, multiple sclerosis, Parkinson's disease, to include NICE guidelines, DH publications and other sources of evidence.
  • Recognition and appropriate response to management of people with long term conditions; to include understanding of risk prediction tools , physiological and psychosocial observations dependent upon discipline and/or role, effective referral and communication with individuals, families and the multi-disciplinary team, timely referral and co-ordination to areas of least invasive care in the least intensive settings, supporting effective primary care and necessary secondary care (Skills for Health 2008; NHS Year of Care Partnerships, 2015).
  • Physiology and recognition of related pathophysiology of specific long term conditions.
  • Bio-psychosocial care of the individual requiring management of long term condition(s); to include identification, assessment, planning, implementation and evaluation of the physical, psychological and social needs of the person with long term condition(s) dependent upon discipline and/or role communicating within the multi disciplinary team across primary and secondary health and social care settings. (NSF’s; NICE guidelines; Skills for Health).
  • Empowerment of people to manage self care of long term condition(s); individual budgets, assistive technology, patient experience programme, expert patient and NHS Direct.
  • Medicines management and the Pharmacy contract.
  • The interface of management of long term condition(s) and end of life care.
  • Ethical, legal and professional issues related to care of the patient requiring management of long term condition(s); to include professional accountability, clinical governance, risk management, & relevant legislation and the implications for multi-disciplinary, inter-agency working across health and social care settings.
  • Service development recognising and exploring collaborative and integrated ways of working.
  • The interface of health and social care and primary/secondary care.

The principal learning and teaching methods used in the module are:

  • Lectures, seminars and workshops: The core of each module delivery mode is a series of face to face tutor-led or group-led seminars or workshops.
  • Web-based learning using the Keele Learning Environment (KLE), Blackboard.
  • Group work and peer support. All modules use focused group work and class discussions within face to face tutor time.
  • Directed independent study. Most of the study hours for each module comprise independent learning by expecting participants to add depth and breadth to their knowledge of topics, to practice skills and to reflect on critical incidents and their practice.