MSc ADVANCED PRACTICE (HEALTH & SOCIAL CARE)

A Collaboration between:

• Greater Manchester Strategic Health Authority (as part of its Delivering the Workforce Project)• Greater Manchester NHS Trusts• University of Bolton• University of Salford• Other NHS Organisations e.g. GMAS• Social Care organisations

GENERALIST ADVANCED PRACTITIONERGENERALIST ADVANCED PRACTITIONER

MSc Advanced Practice (Health & Social Care)MSc Advanced Practice (Health & Social Care) 2 year work based 2 year work based Individually tailored to practitioner role and Individually tailored to practitioner role and

assessment of competencies and a development assessment of competencies and a development portfolioportfolio

Work placed mentor & assessorsWork placed mentor & assessors Multi-professionalMulti-professional Supported in practice by University employed Supported in practice by University employed

Learning FacilitatorLearning Facilitator

CORE DIMENSIONSCORE DIMENSIONSClinical (80%)Clinical (80%)LeadershipLeadershipPersonal attributesPersonal attributes

Competency driven with links to Competency driven with links to personal/professional development planning, personal/professional development planning, portfolio development and achievement of core portfolio development and achievement of core competenciescompetencies

Advanced practice forms the continuum Advanced practice forms the continuum from practitioner to emergent consultantfrom practitioner to emergent consultant

DH. 2000 The NHS Plan, LondonDH. 2000 The NHS Plan, London

Principles of Advanced Practice (20)

Critical Evaluation and Review (20)

Managing Clinical Care (20)

Public Health & Health Promotion (20)

Semester 1 Semester 2+ summer Semester 1Semester 2

Foundations of Advanced Practice (40)

Application of Life Sciences for Advanced Practice (20)

Research Dissertation (60)

Negotiated/ independent learning (20)

Induction

Feb

Feb

Feb

FebSept Summer + Sept

Feb

Core module

Options

Summer + Sept

Summer + Sept

Summer + Sept

Foundations of Advanced PracticeFoundations of Advanced Practice

OutcomesOutcomes BenefitsBenefits

Map and evidence the Map and evidence the characteristics of an characteristics of an Advanced Practitioner in your Advanced Practitioner in your contextcontext

Be expert in reflective, intuitive practiceBe expert in reflective, intuitive practice

Demonstrate reflective practice through the Demonstrate reflective practice through the development of a progressive portfolio of development of a progressive portfolio of evidence of your professional practice that evidence of your professional practice that depicts an Advanced Practitioner functiondepicts an Advanced Practitioner function

within your own sphere of practicewithin your own sphere of practice

Work towards the specific Work towards the specific desired service outcomes desired service outcomes relevant to their contextrelevant to their context

Modify the boundaries of practice by making Modify the boundaries of practice by making properly considered decisions to identify the properly considered decisions to identify the level of responsibility and risk taking involved level of responsibility and risk taking involved

in Advanced Practice rolesin Advanced Practice roles

Application of Life Sciences Application of Life Sciences

OutcomesOutcomes BenefitsBenefits

Relevant life sciencesRelevant life sciences Apply advanced knowledge of pathophysiology to Apply advanced knowledge of pathophysiology to differentiate disease processesdifferentiate disease processes

Apply extensive knowledge of anatomy, physiology and Apply extensive knowledge of anatomy, physiology and psychology to differentiate a wide range of patient psychology to differentiate a wide range of patient presentations with complex care needs, to determine the presentations with complex care needs, to determine the

appropriate diagnosisappropriate diagnosis

Definition of generalist & specialistDefinition of generalist & specialist

SpecialistSpecialist – someone who is trained in a – someone who is trained in a particular branch of a professionparticular branch of a profession

GeneralistGeneralist – someone who is competent in – someone who is competent in several different fields or activitiesseveral different fields or activities

Advanced Practitioners – Agenda Advanced Practitioners – Agenda

for Changefor Change

Advanced Practitioner

An

Advanced Generalist with Competencies in several different fields from across

The different professions

An

Advanced Specialist with Specialist skills within

own profession

Consultant Generalist Consultant Specialist9

8

7

Critical Evaluation Evidence and Practice Critical Evaluation Evidence and Practice

OutcomesOutcomes BenefitsBenefitsCritical appraisal of the Critical appraisal of the evidence base behind evidence base behind literature and practice literature and practice relevant to your field of relevant to your field of practice practice

Appraise the evidence base on delivery of care Appraise the evidence base on delivery of care in your area of practice, drawing on a wide range in your area of practice, drawing on a wide range of data, including influential guidelines (e.g. of data, including influential guidelines (e.g. National Service Frameworks) and legal National Service Frameworks) and legal principles, and integrate your findings into care principles, and integrate your findings into care designdesign

Sharing & developing a body Sharing & developing a body of evidence relevant to your of evidence relevant to your practicepractice

Appraise different interventions for patients in Appraise different interventions for patients in specific situations, and appropriately apply them specific situations, and appropriately apply them

Critiquing and developing Critiquing and developing practicepractice

Challenge current approaches to recognising Challenge current approaches to recognising patterns of illness and injury in clients with patterns of illness and injury in clients with complex care needs, proposing and designing complex care needs, proposing and designing new methodsnew methods

Principles of Advanced PracticePrinciples of Advanced Practice

OutcomesOutcomes BenefitsBenefits

Consultation skillsConsultation skills Develop or refine approaches to identifying clients in ill Develop or refine approaches to identifying clients in ill

health states and apply these effectively in practicehealth states and apply these effectively in practice

Assessment of health Assessment of health and social needsand social needs

Critically appraise existing tools, or design new tools, to Critically appraise existing tools, or design new tools, to enable a comprehensive, systematic and accurate enable a comprehensive, systematic and accurate assessment of the physical, psychological, social and assessment of the physical, psychological, social and spiritual needs of a client in your area of practicespiritual needs of a client in your area of practice

Clinical decision makingClinical decision making Provides expert consultancy on symptom control and Provides expert consultancy on symptom control and management of clients with complex care needs management of clients with complex care needs

ELECTIVE MODULE:ELECTIVE MODULE:

Public Health and Health Promotion Public Health and Health Promotion Holistic approach in the Primary care context. Public health and health promotion, Holistic approach in the Primary care context. Public health and health promotion, working with individuals, families and the communityworking with individuals, families and the community

Management of Clinical Care Management of Clinical Care Develop competence in a chosen area, to enhance care and programme Develop competence in a chosen area, to enhance care and programme

management. The area chosen determined by an NSF framework, or equivalent management. The area chosen determined by an NSF framework, or equivalent e.g. Diabetes, Palliative Care, Respiratory Care or Coronary Heart Diseasee.g. Diabetes, Palliative Care, Respiratory Care or Coronary Heart Disease

Negotiated LearningNegotiated Learning Allows learner to define, develop and demonstrate specific learning on an aspect of Allows learner to define, develop and demonstrate specific learning on an aspect of their roletheir role

OTHEROTHER

Research Dissertation/ProjectResearch Dissertation/Project

OutcomesOutcomes BenefitsBenefitsCritically appraise and present evidence and Critically appraise and present evidence and

theory from differing perspectivestheory from differing perspectives

Modify the boundaries of practice by Modify the boundaries of practice by making properly considered decisions making properly considered decisions to identify the level of responsibility to identify the level of responsibility

and risk taking involved in APand risk taking involved in AP

Lead in the development of inter-Lead in the development of inter-professional, inter-agency working to professional, inter-agency working to facilitate care pathways for vulnerable facilitate care pathways for vulnerable

clientsclients

Lead in developments within own Lead in developments within own sphere of practice on a regional or sphere of practice on a regional or

national basisnational basis

Critically analyse evidence and Critically analyse evidence and anticipate the direction in which your anticipate the direction in which your

practice will progresspractice will progress

Identify knowledge available Identify knowledge available

Formulate proposals for the utilisation of Formulate proposals for the utilisation of knowledge for practice and or service knowledge for practice and or service development within your practicedevelopment within your practice

Critically analyse how knowledge may be Critically analyse how knowledge may be transferred, utilised and transformed transferred, utilised and transformed

Critically reflect on yours and others role in Critically reflect on yours and others role in facilitating and evaluating outcomesfacilitating and evaluating outcomes

Critically evaluate the organisational and other Critically evaluate the organisational and other contextual factors that contribute to contextual factors that contribute to innovation and how you can work with innovation and how you can work with others to enhance service provisionothers to enhance service provision

Advanced Practitioner

Learning Facilitator

Service Manager

Education Collaborative

Mentor Assessors

HEI Student support

The Quality Assurance Agency for Higher Education defines a masters The Quality Assurance Agency for Higher Education defines a masters degree in the following terms:degree in the following terms:

Much of the study is at, or informed by, Much of the study is at, or informed by, the forefrontthe forefront of an academic or of an academic or professional discipline. Students will have shown originality in the professional discipline. Students will have shown originality in the application of knowledge, and they will understand how the application of knowledge, and they will understand how the boundaries boundaries of of knowledge are advanced through research. They will be able to deal with knowledge are advanced through research. They will be able to deal with complex issues both systematically and creatively, and they will show complex issues both systematically and creatively, and they will show originalityoriginality in tackling and solving problems. in tackling and solving problems.

They will have the qualities needed for employment in circumstances They will have the qualities needed for employment in circumstances requiring sound judgement, requiring sound judgement, personal responsibility and initiative, in personal responsibility and initiative, in complex and unpredictable professional environments.complex and unpredictable professional environments.

the Advanced Practitioner role works with lots of the Advanced Practitioner role works with lots of ‘‘boundaries’ …boundaries’ …

in areas of knowledge, practice, roles and across organisationsin areas of knowledge, practice, roles and across organisations

Advanced Practitioner – potential rolesAdvanced Practitioner – potential roles

Potential Roles:-Potential Roles:-Out of hours services:-Out of hours services:-

– Emergency GP servicesEmergency GP services– Acute hospitalsAcute hospitals– Community servicesCommunity services

Walk in CentresWalk in CentresCommunity matrons/active Community matrons/active case managerscase managersNon medical treatment servicesNon medical treatment servicesTreatment centres – Treatment centres – Diagnostics,Diagnostics,

RadiographyRadiographyCommunity services:-Community services:-

– Pharmacy one stop servicesPharmacy one stop services– Diagnostic care and Diagnostic care and

treatmenttreatment

Outcome driven:-Outcome driven:-– Performance management Performance management

targetstargets– European working time European working time

directivesdirectives– Modernising medical Modernising medical

careerscareers– Maintaining services – Maintaining services –

shortage of GPsshortage of GPs– Improving or expanding Improving or expanding

current services e.g. tier two current services e.g. tier two in community [chronic in community [chronic diseases]diseases]

OUTCOMEOUTCOME

An advanced practitioner who has highly An advanced practitioner who has highly specialised or highly developed knowledge and specialised or highly developed knowledge and skills beyond those which are required for skills beyond those which are required for registration, encompassing the breadth and registration, encompassing the breadth and depth of current and future professional practice.depth of current and future professional practice.