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 PRACTITIONER MSc Advanced Practice (Health & Social Care) 2 year work based 2 year work based Individually tailored to practitioner role and assessment of competencies and a development portfolio Individually tailored to practitioner role and assessment of competencies and a development portfolio Work placed mentor & assessors Work placed mentor & assessors Multi-professional Multi-professional Supported in practice by University employed Learning Facilitator Supported in practice by University employed Learning Facilitator

CORE DIMENSIONS Clinical (80%) Clinical (80%) Leadership Leadership Personal attributes Personal attributes Competency driven with links to personal/professional development planning, portfolio development and achievement of core competencies Competency driven with links to personal/professional development planning, portfolio development and achievement of core competencies

Advanced practice forms the continuum from practitioner to emergent consultant DH 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 1 Semester 2 Foundations of Advanced Practice (40) Application of Life Sciences for Advanced Practice (20) Research Dissertation (60) Negotiated/ independent learning (20) Induction Feb Sept Summer + Sept Feb Core module Options Summer + Sept

Foundations of Advanced Practice OutcomesBenefits Map and evidence the characteristics of an Advanced Practitioner in your context Be expert in reflective, intuitive practice Demonstrate reflective practice through the development of a progressive portfolio of evidence of your professional practice that depicts an Advanced Practitioner function within your own sphere of practice Work towards the specific desired service outcomes relevant to their context Modify the boundaries of practice by making properly considered decisions to identify the level of responsibility and risk taking involved in Advanced Practice roles

Application of Life Sciences OutcomesBenefits Relevant life sciences Apply advanced knowledge of pathophysiology to differentiate disease processes Apply extensive knowledge of anatomy, physiology and psychology to differentiate a wide range of patient presentations with complex care needs, to determine the appropriate diagnosis

Definition of generalist & specialist Specialist – someone who is trained in a particular branch of a profession Generalist – someone who is competent in several different fields or activities

Advanced Practitioners – Agenda for 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 GeneralistConsultant Specialist

Critical Evaluation Evidence and Practice OutcomesBenefits Critical appraisal of the evidence base behind literature and practice relevant to your field of practice Appraise the evidence base on delivery of care in your area of practice, drawing on a wide range of data, including influential guidelines (e.g. National Service Frameworks) and legal principles, and integrate your findings into care design Sharing & developing a body of evidence relevant to your practice Appraise different interventions for patients in specific situations, and appropriately apply them Critiquing and developing practice Challenge current approaches to recognising patterns of illness and injury in clients with complex care needs, proposing and designing new methods

Principles of Advanced Practice OutcomesBenefits Consultation skills Develop or refine approaches to identifying clients in ill health states and apply these effectively in practice Assessment of health and social needs Critically appraise existing tools, or design new tools, to enable a comprehensive, systematic and accurate assessment of the physical, psychological, social and spiritual needs of a client in your area of practice Clinical decision making Provides expert consultancy on symptom control and management of clients with complex care needs

ELECTIVE MODULE: Public Health and Health Promotion Holistic approach in the Primary care context. Public health and health promotion, working with individuals, families and the community Management of Clinical Care Develop competence in a chosen area, to enhance care and programme management. The area chosen determined by an NSF framework, or equivalent e.g. Diabetes, Palliative Care, Respiratory Care or Coronary Heart Disease Develop competence in a chosen area, to enhance care and programme management. The area chosen determined by an NSF framework, or equivalent e.g. Diabetes, Palliative Care, Respiratory Care or Coronary Heart Disease Negotiated Learning Allows learner to define, develop and demonstrate specific learning on an aspect of their role OTHER

Research Dissertation/Project OutcomesBenefits Critically appraise and present evidence and theory from differing perspectives Modify the boundaries of practice by making properly considered decisions to identify the level of responsibility and risk taking involved in AP Lead in the development of inter- professional, inter-agency working to facilitate care pathways for vulnerable clients Lead in developments within own sphere of practice on a regional or national basis Critically analyse evidence and anticipate the direction in which your practice will progress Identify knowledge available Formulate proposals for the utilisation of knowledge for practice and or service development within your practice Critically analyse how knowledge may be transferred, utilised and transformed Critically reflect on yours and others role in facilitating and evaluating outcomes Critically evaluate the organisational and other contextual factors that contribute to innovation and how you can work with others to enhance service provision

Advanced Practitioner Learning Facilitator Service Manager Education Collaborative MentorAssessors HEI Student support

The Quality Assurance Agency for Higher Education defines a masters degree in the following terms: The Quality Assurance Agency for Higher Education defines a masters degree in the following terms: Much of the study is at, or informed by, the forefront of an academic or professional discipline. Students will have shown originality in the application of knowledge, and they will understand how the boundaries of knowledge are advanced through research. They will be able to deal with complex issues both systematically and creatively, and they will show originality in tackling and solving problems. Much of the study is at, or informed by, the forefront of an academic or professional discipline. Students will have shown originality in the application of knowledge, and they will understand how the boundaries of knowledge are advanced through research. They will be able to deal with complex issues both systematically and creatively, and they will show originality in tackling and solving problems. They will have the qualities needed for employment in circumstances requiring sound judgement, personal responsibility and initiative, in complex and unpredictable professional environments. They will have the qualities needed for employment in circumstances requiring sound judgement, personal responsibility and initiative, in complex and unpredictable professional environments. the Advanced Practitioner role works with lots of ‘boundaries’ … in areas of knowledge, practice, roles and across organisations in areas of knowledge, practice, roles and across organisations

Advanced Practitioner – potential roles Potential Roles:- Out of hours services:- –Emergency GP services –Acute hospitals –Community services Walk in Centres Community matrons/active case managers Non medical treatment services Treatment centres – Diagnostics, Radiography Community services:- –Pharmacy one stop services –Diagnostic care and treatment Outcome driven:- –Performance management targets –European working time directives –Modernising medical careers –Maintaining services – shortage of GPs –Improving or expanding current services e.g. tier two in community [chronic diseases]

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