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Primary Health Care Research & Development Primary Health Care Research & Development

Article contents

Nurse-led case management in the National Health Service: bridging clinical and social worlds

Published online by Cambridge University Press:  24 November 2011

Jill Manthorpe ,
Claire Goodman ,
Vari Drennan ,
Sue L. Davies ,
Helen Masey ,
Heather Gage ,
Cheryll Scott ,
Sally Brearley  and
Steve Iliffe
Jill Manthorpe*
Affiliation:
Professor of Social Work, Social Care Workforce Research Unit, King's College London, London, UK
Claire Goodman
Affiliation:
Professor of Health Services Research, Centre for Research In Primary and Community Care, University of Hertfordshire, Hatfield, UK
Vari Drennan
Affiliation:
Faculty of Health and Social Care Sciences, St George's University and Kingston University, London, UK
Sue L. Davies
Affiliation:
Research Fellow, Centre for Research In Primary and Community Care, University of Hertfordshire, Hatfield, UK
Helen Masey
Affiliation:
Research Fellow, Department of Social Work, University of Brunel, London, UK
Heather Gage
Affiliation:
Department of Economics, University of Surrey, Guildford, UK
Cheryll Scott
Affiliation:
Honorary Research Fellow, University of Hertfordshire, Hatfield, UK
Sally Brearley
Affiliation:
Visiting Senior Research Fellow in Public and Patient Involvement, King's College London, London, UK
Steve Iliffe
Affiliation:
Professor of Primary Care for Older People, Department of Primary Care & Population Studies, University College London, London, UK
*
Correspondence to: Jill Manthorpe, Professor of Social Work, Social Care Workforce Research Unit, King's College London, Strand, London WC2B 4LL, UK. Email: jill.manthorpe@kcl.ac.uk
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Abstract

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Aim

To understand the effects of Nurse Case Managers (NCMs) working in primary care in the English National Health Service (NHS) from multiple perspectives and how this new role impacts on social workers, this paper reports and discusses findings from a multi-level study of the role of NCMs working in primary care in the English NHS.

Background

Case management as understood by the NHS is equivalent to key-worker type care management as understood by social workers. However, English health and social services are separately organised with different organisational principles; health services are free at the time of need, whereas social services are means-tested and access is restricted.

Methods

The study included reviews of evaluations and policy, a national survey of nurse case management in Primary Care Trusts (PCTs) and case studies in three purposively selected PCTs. The views and experiences of patients were collected through face-to-face and telephone interviews with 51 older people and their carers, and these experiences are illustrated. In this paper, we further draw on data reporting the views of NCMs and stakeholders from other disciplines and services.

Findings

The opinions of older people receiving nurse case management reveal the value of high intensity support to individuals with major health and social needs. The NCMs’ clinical expertise, the improved continuity of care they provided and the psychosocial support they offered, were all emphasised by older people or their carers. NCMs substituted for social workers in some cases, when the older person would not have been eligible for publicly funded social care or had declined it. In other cases, they supplemented social services by identifying unmet needs. In a third category of cases, they may have curtailed social services’ involvement by preventing hospital admission and social services’ involvement as a consequence. The implications of this from the viewpoint of other study participants are discussed.

Keywords

care managerscase managementnursesolder peopleprimary caresocial workers
Type
Research
Information
Primary Health Care Research & Development , Volume 13 , Issue 2 , April 2012 , pp. 153 - 164
Copyright
Copyright © Cambridge University Press 2011

References

Abell, J., Hughes, J., Reilly, S., Berzins, K. Challis, D. 2010: Case management for long-term conditions: developing targeting processes. Journal of Care Management 11, 11–18.CrossRefGoogle ScholarPubMed
Bornat, J. Bytheway, B. 2010: Perceptions and presentations of living with everyday risk in later life. British Journal of Social Work 40, 1118–1134.CrossRefGoogle Scholar
Carr, S. 2010: Personalisation: a rough guide, second edition. London: Social Care Institute for Excellence.Google Scholar
Challis, D. Davies, B. 1986: Case management in community care. Aldershot, UK: Ashgate.Google Scholar
Challis, D., Darton, R., Hughes, J., Huxley, P. Stewart, K. 2001: Emerging patterns of care management: arrangements for older people in England. Social Policy and Administration 35, 672–687.CrossRefGoogle Scholar
Challis, D., Jacobs, S., Hughes, J., Stewart, K., Venables, D. Weiner, K. 2005: Are different forms of care management associated with variations in case-mix, service use and care managers’ time use in mental health services? Research, Policy and Planning 23, 71–85.Google Scholar
Challis, D., Hughes, J., Berzins, K., Reilly, S., Abell, J., Stewart, K. 2010: Self care and case management in long-term conditions: the effective management of critical interfaces. Southampton: SDO (08/1715/201).Google Scholar
Crabtree, B.F. Miller, W.L. 1992: Primary care research: a multi-method typology and qualitative road map. In Crabtree, B.F. and Miller W.L., editors, Doing qualitative research: research methods for primary care. Thousand Oaks, CA: Sage.Google Scholar
Department of Health (DH). 2004a: Chronic disease management: a compendium of information. London: Department of Health.Google Scholar
DH. 2004b: The NHS improvement plan: putting people at the heart of public services. London: The Stationary Office.Google Scholar
DH. 2004c: National standards, local action: health & social care standards and planning framework 2005/06–2007/08. London: Department of Health.Google Scholar
Drennan, V., Goodman, C., Manthorpe, J., Davies, S., Scott, C., Gage, H. Iliffe, S. 2011: Establishing new nursing roles: a case study of the English community matron initiative. Journal of Clinical Nursing 20, 2948–2957.CrossRefGoogle ScholarPubMed
Firestone, W.A. 1993: Alternative arguments for generalising from data as applied to qualitative research. Educational Researcher 22, 16–23.CrossRefGoogle Scholar
Gage, H., Goodman, C., Ting, S., Williams, P., Iliffe, S., Manthorpe, J., Davies, S.L., Masey, H., Drennan, V (under review): Nurse-led case management for community dwelling older people: an explorative study of models and costs.Google Scholar
Goodman, C., Drennan, V., Davies, S., Masey, H., Gage, H., Scott, C., Manthorpe, J., Brearley, S., Iliffe, S. 2010: Nurses as case managers in primary care: the contribution to chronic disease management, Southampton. Report for the National Institute for Health Research Service Delivery and Organisation programme.Google Scholar
Jacobs, S., Challis, D., Stewart, K. Weiner, K. 2006: From care management to case management: what can the NHS learn from the social care experience? Journal of Integrated Care 14, 22–31.CrossRefGoogle Scholar
Iliffe, S., Drennan, V., Manthorpe, J., Gage, H., Davies, S., Masey, H., Scott, C., Brearley, S. Goodman, C. 2011: Nurse case management and general practice: implications for practice-based commissioning. British Journal of General Practice 61, 622–663.CrossRefGoogle Scholar
Keen, A. 2008: Written answers: community nurses: manpower. London House of Commons, Hansard, 14 January 2008: Column 1000W. London: Hansard www.publications.parliament.uk.Google Scholar
Kharicha, K., Levin, E., Iliffe, S. Davey, B. 2004: Social work, general practice and evidence-based policy in the collaborative care of older people: current problems and future possibilities. Health & Social Care in the Community 12, 134–141.CrossRefGoogle ScholarPubMed
Lincoln, Y.S. Guba, E.G. 1985: Naturalistic inquiry. London: Sage.Google Scholar
Manthorpe, J., Moriarty, J., Rapaport, J., Clough, R., Cornes, M., Bright, L. Iliffe, S., OPRSI (Older People Researching Social Issues). 2008: There are wonderful social workers but it's a lottery’: older people's views about social workers. British Journal of Social Work 38, 1132–1150.CrossRefGoogle Scholar
McLeod, E., Bywaters, P., Tanner, D. Hirsch, M. 2008: For the Sake of their Health: older service users’ requirements for social care to facilitate access to social networks following hospital discharge. British Journal of Social Work 38, 73–90.CrossRefGoogle Scholar
Pickard, A. 2009: Governing old age: the “case managed” older person. Sociology 43, 67–84.CrossRefGoogle Scholar
Reilly, S., Abell, J., Brand, C., Hughes, J., Berzins, K. Challis, D. 2011: Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay. Primary Health Care Research & Development 12, 223–236.CrossRefGoogle ScholarPubMed
Strauss, A.L. 1987: Qualitative analysis for social scientists. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Sullivan, M.P. 2009: Social workers in community care practice: ideologies and interactions with older people. British Journal of Social Work 39, 1306–1325.CrossRefGoogle Scholar
Swanborn, P.A. 1996: Common base for quality control criteria in quantitative and qualitative research. Quality & Quantity 30, 19–35.CrossRefGoogle Scholar
Swanborn, P. 2010: Case study research: what, why and how?. London: Sage.Google Scholar
Verkade, P.J., Van Meijel, B., Brink, C., Van Os-Medendorp, H., Bauke Koekkoek, B. Francke, A.L. 2010: Delphi-research exploring essential components and preconditions for case management in people with dementia. BMC Geriatrics 10, 54 doi:10.1186/1471-2318-10-54.CrossRefGoogle ScholarPubMed
Wagner, E. 1998: Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice 1, 2–4.Google ScholarPubMed
Weinberg, A., Williamson, J., Challis, D. Hughes, J. 2003: What do care managers do? A study of working practice in older people's services. British Journal of Social Work 33, 901–919.CrossRefGoogle Scholar
Yin, R.K. 1999: Enhancing the quality of case studies in health services research. Health Services Research 34, 1209–1224.Google ScholarPubMed
Yin, R.K. 2003: Case study design. Thousand Oaks, CA: Sage.Google Scholar
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