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Developing capacity

ENCAM Nurse case management study

Purpose

This study, exploring the role of nurses as case managers for people with long-term health conditions, aims to:

  • Identify the factors that have led to the development of models of management of long-term conditions and what sustains them
  • Describe the range and type of models, the roles and responsibilities of nurses within them and how they involve service users and carers
  • Evaluate the impact of nurses on the cost, quality, effectiveness and organisation of the care.

It is being carried out by the Primary Care Nursing Research Unit at the University of Hertfordshire, in collaboration with University College London, King’s College London, North Central London Community Research Consortium and Camden Primary Care Trust. 

Research team

Jill Manthorpe, SCWRU
Sue Davies, University of Hertfordshire
Steve Iliffe, University College London
Sarah Andrews, Camden and Islington
Heather Gage, University of Surrey
Sally Brearley, Independent Service User representative
Claire Goodman, University of Hertfordshire (Principal Investigator)
Vari Drennan, St George’s, University of London and Kingston University (Principal Investigator)
Cherill Scott, Royal College of Nursing

Funding

Department of Health National Co-ordinating Centre for Service Delivery and Organisation.

Background

Recent government policy has suggested that nurses should play a greater role in helping people to manage their long-term health conditions. Although the majority of people with long-term conditions are able to self-manage their care, a small number of them have complex health and social care needs. It is thought that this group may benefit if one member of the health care team acts as a case manager or key worker and takes responsibility for co-ordinating their care. However, there is currently little information available on nurse case management and its impact.

Methods

The study has three phases:

  1. A literature review of nurses as case managers for people with long term conditions.
  2. Identifying models of care management being used by nurses.
  3. Following nurses who are involved as case managers over nine months.

Timetable

2006 - 2009

Output

Report

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. Report for the National Institute for Health Research Service Delivery and Organisation programme' [pdf, 2.36 MB], London: HMSO.

Articles

Gage, H., Ting, S., Williams, P., Drennan, V., Goodman, C., Iliffe, S., Manthorpe, J., Davies, S.L. & Masey, H. (2012, online) 'Nurse-led case management for community dwelling older people: an explorative study of models and costs', Journal of Nursing Management.

Manthorpe, J., Goodman, C., Drennan, V., Davies, S.L., Masey, H., Gage, H., Scott, C., Brearley, S. & Iliffe, S. (2012) 'Nurse-led case management in the National Health Service: bridging clinical and social worlds', Primary Health Care Research & Development, 13(2): 153-164.

Drennan, V., Goodman, C., Manthorpe, J., Davies, S.L., 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(19-20): 2948-2957.

Iliffe, S., Drennan, V., Manthorpe, J., Gage, H., Davies, S.L., Massey, H., Scott, C., Brearley, S. & Goodman, C. (2011) 'Nurse case management and general practice: implications for GP consortia', British Journal of General Practice, 61(591): 658-665.  

Impact

The study has provided cost-effectiveness data that can be used by commissioners.

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