Management of Care

1. Kayleigh Lavelle
NUR301
Management
of Care

2. CONTENT SYNOPSIS
This module is designed to allow students to explore
concepts from management and business theory as well as
current concepts in healthcare delivery and relate these
concepts to the practice setting in order to manage the
organsation and enhance the patient’s outcomes of care.

3. What are you going to learn by completing this module?
• Quality Provision
• Financing healthcare
• Finance & Budgets
• Recent changes in Health & Social Care
• The importance of Teamwork & Collaborative/MDT working
• Patient Journeys and Care Pathways
• Building Capability
• Management Theories & Leadership Styles
• Managed care
• Implications for nurses
• Benefits of strategic management
• Social Policies/Policy Documents
• Psychological Models and Perspectives

4. Level 6 degree module
20 credit module
Must pass this module to pass
overall
There are 2 assessment
components, both must be passed

5. Module Learning Outcomes
Upon successful completion of the module, students will have
demonstrated:
Knowledge:
 An understanding of the principles of teamwork and how it works in organizing
and delivering care.
 An understanding of the principles of leadership and decision-making relevant
to an area of practice.
 An understanding of the issues concerning budgets and their influence on
healthcare practice.
 An understanding of the theories of management relevant to the student’s
care setting

6. Skills:
 An ability to critically explore the recent policy changes in health and social
care and their implications for healthcare practice.
 An ability to critically explore budgets and budgetary control in the
healthcare.
 An ability to Critically evaluate approaches to risk management in healthcare
practice.
 An ability to critically analyze theories of management in healthcare practice

7. Assessment 001: A 2,000-word report relating to budgeting as a healthcare manager and assesses learning
outcomes Knowledge: 3 and 4 and Skills: 2 and 3.
• The report will consist of a workbook with five questions and attracts 40% of the mark for the module.
• You need to address each question and the total word count for the workbook is 2,000 word excluding
questions and referencing.
• You will be required to identify an organisation of your choice (this could be the private or the public sector or
charity organisation – within the UK or external to the UK.
• Then research how that organisation gets its income – describe the income flow. A flow chart may be used but
it is also necessary to describe how the income flows into the organisation. It is not necessary to state the
amount of income).
• Each question builds on the previous question and for question 5 is intended as a summary of the key points
you have identified in questions 1-4. Do be sure to respond to each question appropriate – when you are
asked to describe, then describe. When you are asked to evaluate, then evaluate.
• Submission due by: 4th August 2022 by 9pm via Turnitin
Assessment 001

8. Assessment 002
Assessment 002: A 2,500-word written assignment based on a series of set questions. (Assessing learning
outcomes Knowledge: 1, 2 and 4 and Skills: 1, 3 and 4.
• This attracts 60% of the mark for the module. The questions will relate to topics covered in the module
excluding budgeting.
• You should prepare for the assignment by reviewing the online support material and reading around the weekly
topics and be prepared to support each of your answer with reference to the pertinent literature.
• You will be required to answer one compulsory question and then choose two additional questions from a list of
five questions).
Please refer to the learning outcomes on the descriptor page of this handbook and the assessment criteria
before, during and prior to submission of the summative assessment.
Using HARVARD referencing system as per university guidelines.
Submission due by: 22nd August 2022 by 9pm via Turnitin.
.

9. Academic Writing

10. What is managed care?
A healthcare delivery system organised to offer 4 key
things: quality, manage cost, manage utilisation and
evaluation.

11. Quality . Patient safety
. Patient experience
. Clinical effectiveness
All healthcare professionals and policy makers/decision-makers should consider how best to meet,
maintain, evaluate and improve the requirements of service users- past, present and future.

12. Patient Experience
• Patient-centred care- strengthens person and family engagement as partners in their
care
• Effective communication and coordination of care (teamwork- patient, the
independent physician, the patient’s family, and the community as a whole.) to
improve and involve patient in their care.
• Adequate facilities and infrastructure
• Aside treatment, involves effective prevention of diseases- health psychology.
Awareness of psychosocial impacts on health and illness behaviours/trends. The
patient takes ownership in preventive care and in the treatment of diagnosed
conditions.
• Make care affordable and individualised

13. Evidence-based Practice- to ensure doing the right thing for the right patient, at the right time, in the right
way to achieve the best possible results in a safe, effective manner.
Thus, care and treatment:
• Requires the application of best knowledge (derived from research), clinical experience and patient
preference to achieve optimal outcome of care.
• Made safer by reducing harm caused in the delivery of care
• Underpinned by research and is effective
Patient Safety and Clinical Effectiveness

14. What is Quality provision?
How do we know?

15. Remember- Managed Care
• Described as a variety of systems and arrangements for planning, managing, delivering and
evaluating care, in compliance with quality standards (NHS Confederation, 2006)
• Managed care can reduce duplication and cost (Nolte and McKee, 2012)

16. A Model for Managed Care
Linsley and Morton, 2013

17. •What is the role of the future nurse?
•What do you think?
The Future Nurse

18. The Future Nurse
• Nursing in the UK became an all graduate entry in 2013
• Equity and Equality Liberating the NHS (DH, 2010)
• Liberating the NHS : Developing the NHS Workforce (DH, 2012)
• Five Year Forward View (DH, 2014) -builds on the White paper: DH, 2010
• https://www.england.nhs.uk/wp- content/uploads/2014/10/5yfv-web.pdf
• NHS Shared Planning Guidance (DH, 2015)
https://www.england.nhs.uk/ourwork/futurenhs/de liver-forward-view/

19. Definition of Nursing
• Nursing encompasses autonomous and collaborative care of individuals of all ages, families,
groups and communities, sick or well and in all settings. Nursing includes the promotion of
health, prevention of illness, and the care of ill, disabled and dying people.
• Advocacy, promotion of a safe environment, research, participation in shaping health policy
and in patient and health systems management, and education are also key nursing roles.
(ICN, 2002).

20. “Achieving universal health coverage (UHC) means ensuring that all people receive the essential
health services they need without being exposed to financial hardship as a result. Such services
include public health services to promote health and prevent illness, and to provide treatment,
rehabilitation and palliative care of sufficient quality to be effective”.
https://www.who.int/gho/publications/world_health_
statistics/2018/EN_WHS2018_Part3.pdf?ua=1
World Health Organisation (2019)

21. • Ties the organization together with a purpose and shared values
• Improves financial performance in many cases- improves efficiency
• Provides the organization with a clear self-concept,
• Requires managers to communicate both vertically and horizontally
• Improves the overall coordination within the organization
• Encourages innovation and change
(Swayne et al; 2008)
Benefits of strategic management

22. Leading Change, Adding Value (2016)

23. •A greater focus on prevention is needed
Leading Change Adding Value
•Health needs will go unmet unless we reshape care,
harness technology and address variations in quality
and safety
•Without efficiencies, a shortage of resources will hinder
care services and progress
NHS, 2014

24. Leading Change, Adding Value (2016)

25. Leading Change Adding Value (2016)

26. “ Nursing makes up the largest element of the healthcare workforce, a significant opportunity to make a
further contribution to positive outcomes of care.
1. Better understanding what you do and how you deliver care is important to patients and to your
practice.
2. Nurses have a strong sense of preventative care and health promotion.
3. As we move forward, the nursing profession will have to adapt how they work and what they do. To
demonstrate the benefit and contribution of nursing means having the right information by collecting
new evidence in new ways. This is where the e-health agenda and quality come together, to achieve
a more effective future for nursing care”
(Department of Health, 2010)
Challenges for Nursing

27. The Code (NMC, 2015)
You put the interests of people using or needing nursing or midwifery services first:
To achieve this, you must:
• treat people with kindness, respect and compassion
• make sure you deliver the fundamentals of care effectively
• avoid making assumptions and recognize diversity and individual choice
• make sure that any treatment, assistance or care for which you are responsible is delivered
without undue delay, and respect and uphold people’s human rights.
• Listen to people and respond to their preferences and concerns
• work in partnership with people to make sure you deliver care effectively

28. The NMC Code
Helps us:
• Prioritize people
• Practice effectively
• Preserve Safety
• Promote professionalism and trust (NMC, 2015).

29. Our mission
We value people
We believe they matter
We value fairness
We are consistent and act with integrity
We value transparency
We are open and honest
Our Value and Mission (NMC, 2019)

30. The Challenges Ahead – CHANGE!
• Quality at the heart of everything we do
• Values and behaviours that put patients first
• Roles and responsibilities throughout the system
The role that staff and patients can play in protecting and improving
quality; and the organisations that will endure throughout the transition.

31. Read
https://www.england.nhs.uk/wp-content/uploads/2018/05/lcav-e-learning-tool-v1.pdf

32. Thank you for Listening
Any Questions?
Further reading:
• After Francis: Making A Difference
http://www.publications.parliament.uk/pa/cm201314/cmselect/cm health/657/65702.htm
https://soundcloud.com/nhsengland/track-48