9.30 Chair’s opening remarks

9.35 KEYNOTE: Community Matrons: New Roles, New Opportunities
• The facts, figures and implications for healthcare
• Who are community matrons and what can they do?
• Achieving outcomes that matter to patients.
• Creating an integrated approach to care.

Chris Beasley, Chief Nursing Officer, DEPARTMENT OF HEALTH

10.15 Identifying the population at risk
Case Study: Luton tPCT evercare pilot

• Identifying population at risk/admission criteria
• Data capture the difficulties
• Key training needs
• Recruiting for success
• Communicating a new nursing culture

Michael McMahon, Advanced Primary Nurse/(APP), LUTON tPCT

10.45 Discussion

10.55 Coffee

11.15 Involving users in service redesign: Case management the patient perspective
• A person centred approach
• Individual experiences/case scenario
• Education/self management and user expectations
• Advance directives and advocacy

Linda Aston, Community Matron, WALSALL PCT

11.15 Identifying and involving key stakeholders
• Delivering an effective model at local level
• Identifying and engaging key stakeholders
• Establishing key Interfaces
• Monitoring and evaluation
• Other key development Issues

Dr David Cochrane, Director, CONRANE CONSULTING

12.15 Defining the case management role
Case Study: Co-ordinating care for patients with complex needs, The Castlefields Experience

Jayne Molyneux, Practice Nurse, Special Interest in LTCs (Community Matron) Castlefield Medical Centre
Jane Melvin, Primary Care Cancer & Palliative Care Nurse, Castlefields Medical Centre

12.45 Discussion

12.55 Lunch

13.45 Developing an education and training programme for case managers
• Curriculum development – who should be involved, when, why and how?
• Developing and implementing training needs analysis tools – not knowing what you need to know.
• A curriculum to prepare the case manager and their organisation.
• Working across traditional boundaries: Can Universities work together to meet the needs of the National Health Service?

Dr Rebecca Jester, Associate Dean, UNIVERSITY OF WOLVERHAMPTON and Advance Nurse Practitioner Judy Hall, Associate Director – Workforce Modernisation, Workforce Development Directorate, BIRMINGHAM & BLACK COUNTRY SHA

14.15 Redesigning the wider workforce to encompass the community matron role
• The challenges we are facing
• Issues to consider when redesigning the workforce
• Using competencies to develop the community matron and case management role
• Sharing of good practice examples

Sally Bassett, Nurse Advisor, NHS MODERNISATION AGENCY & DEPARTMENT OF HEALTH

14.45 Identifying and preparing supervisors and clinical mentors
• Mentoring for Community Matrons what's the difference
• Mentoring models one person or a matrix approach
• Learning for mentors: generic or specific
• Building on what we already know

Vince Ion, Learning Co-ordinator and lead on learning for Community Matrons on Long Term Conditions, NHSU

15.15 Discussion

15.20 Tea

15.35 Lessons from the ‘Evercare’ experience
Kate Howie, Clinical Leader, United Health Europe

16.05 Establishing systems to support case management by community matrons
• Empirical to evidence based planning
• Changing culture changing behaviour
• Job roles not job titles – pragmatic job redesign

Ian Winstanley, Director Patient Services, LUTON tPCT

Establishing systems to support case management by community matrons
• Long Term Conditions within the Single Assessment Process framework
• Build on commonalties, not least person centred care
• Share the information
• End goal – an integrated health and social care system?

Keith Strahan, NHS Care Record Service – London, SAP Best Practice Group Co-ordinator & Single Assessment Process – Manager, Hounslow

16.45 Discussion

16.55 Chair’s closing remarks

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