Delivering System-Wide Co-Ordinated Care
| Module title | Delivering System-Wide Co-Ordinated Care |
|---|---|
| Module code | HPDM189DA |
| Academic year | 2025/6 |
| Credits | 30 |
| Module staff | Dr Susanne Smith (Convenor) |
| Duration: Term | 1 | 2 | 3 |
|---|---|---|---|
| Duration: Weeks | 12 |
| Number students taking module (anticipated) | 48 |
|---|
Module description
The systems delivering the care required to look after increasingly complex patients and service-users mirrors the complexity of their conditions. As a senior leader working in a complex adaptive system, during this module you will examine effective working across the system to influence its strategic direction and the continuous improvement of the care provided through the lenses of shared decision making, enhanced choice, and devolved power. Balancing this is a need for robust governance (clinical, financial and corporate) which you will consider alongside the societal benefits and corporate social responsibility duties in any financial decision making.
Module aims - intentions of the module
This module aims to support you in understanding the wider health system in which you are leading, including the changing perspectives of patients and patient-centred care, and what integrated care involves both within the UK and in other countries. The module will extend the learning from previous modules on values, examining the concepts of public value, social value and citizenship. Discussions with peers and faculty will explore some of the tensions between person-centred care, choice and wider system resources. The examination of health and care finances and health economics principles will enable you to analyse the ethical, corporate social responsibility and power dynamics inherent in system-wide integration and delivery. You will be encouraged to develop your own personal, practical response to the theories covered in this module which will empower you to be a positive and ethical agent within the wider health and care system.
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Analyse and critique the practical application of approaches to shared decision making
- 2. Develop critical awareness and application of financial strategies and associated economic theory within the context of healthcare
- 3. Demonstrate critical awareness of the national and international evidence of effective system wide coordinated care
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 4. Demonstrate systematic understanding of governance, accountability and associated risks in contemporary healthcare
- 5. Apply theoretical and practical knowledge of complex adaptive systems
- 6. Critically apply principles of risk and corporate social responsibility to the workplace
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 7. Demonstrate practical skills in networking, influencing and sharing decision making
- 8. Demonstrate personal responsibility in enacting public sector values and principles in all business-as-usual and crisis activities
Syllabus plan
Weeks 1-2 – Responsibilities and risks in health and care
Week 3-4 – Patient, public and social value
Week 5-6 – Person-centred care
Week 7-8 - Integrated care and shared decision-making
Weeks 9-10 – Accountability and governance
Weeks 11-12 – Health and care principles of economics, funding and finance
Learning activities and teaching methods (given in hours of study time)
| Scheduled Learning and Teaching Activities | Guided independent study | Placement / study abroad |
|---|---|---|
| 29 | 271 | 0 |
Details of learning activities and teaching methods
| Category | Hours of study time | Description |
|---|---|---|
| Scheduled Learning and Teaching activities | 29 | Tutor group, action learning sets and Masterclasses |
| Guided independent study | 271 | Guided online materials, self-learning and work-based learning |
Formative assessment
| Form of assessment | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|
| Draft Critical assignment | 500 words | 1-5 | Written & oral |
| Draft Work-based assignments x3 | 500 words | 1-5 | Written & oral |
Summative assessment (% of credit)
| Coursework | Written exams | Practical exams |
|---|---|---|
| 100 | 0 | 0 |
Details of summative assessment
| Form of assessment | % of credit | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|---|
| Critical assignment | 100 | 3000 words | 1-8 | Written |
| Work-based learning assignment 1 (Pass/Fail grading) Must be passed for the module to be passed. | 0 | 500 words | 4-8 | Written |
| Work-based learning assignment 2 (Pass/Fail grading) Must be passed for the module to be passed. | 0 | 500 words | 4-8 | Written |
| Work-based learning assignment 3 (Pass/Fail grading) Must be passed for the module to be passed. | 0 | 500 words | 4-8 | Written |
| 0 | ||||
| 0 |
Details of re-assessment (where required by referral or deferral)
| Original form of assessment | Form of re-assessment | ILOs re-assessed | Timescale for re-assessment |
|---|---|---|---|
| Critical assignment | Critical assignment (100%) | 1-8 | Programme schedule dependent |
| Work-based learning assignment 1 | Work-based learning assignment (work-based evidence) (0%, P/F) | 4-8 | Programme schedule dependent |
| Work-based learning assignment 2 | Work-based learning assignment (work-based evidence) (0%, P/F) | 4-8 | Programme schedule dependent |
| Work-based learning assignment 3 | Work-based learning assignment (work-based evidence) (0%, P/F) | 4-8 | Programme schedule dependent |
Re-assessment notes
All passed components of the module will be rolled forward and will not be reassessed in the event of module failure.
Re-assessment is not available for work-based evidence assignments once Gateway deadline is passed.
Indicative learning resources - Basic reading
Covey, S.R. (2020) The 7 habits of highly effective people?: revised and updated?: powerful lessons in personal change . Revised and updated. James C. Collins & Sean Covey (eds.). New York?:, Simon & Schuster.
De Cremer, D. (2016) Can Employees Really Speak Up Without Retribution? [Online]. 2016. Available from: https://hbr.org/2016/10/can-employees-really-speak-up-without-retribution (Accessed 6 August 2022).
Detert, J.R. (2018) Cultivating everyday courage: the right way to speak truth to power. Harvard business review. 96 (6), 128–.
Edmonstone, J. (2019) Systems leadership in health and social care . Abingdon, Oxon?; New York, NY?:; Abingdon, Oxon?; New York, NY?:, Routledge.
Hogan, C.S. (n.d.) ORID Focused Conversation Method. [Online]. Available from: https://www.spps.org/cms/lib010/MN01910242/Centricity/Domain/10740/ORID-discussion-method.pdf (Accessed 6 August 2022).
Kim, D.H. (1999) Introduction to systems thinking. [Online]. Pegasus Communications. Available from: https://thesystemsthinker.com/wp-content/uploads/2016/03/Introduction-to-Systems-Thinking-IMS013Epk.pdf (Accessed 6 August 2022).
Lannon, C. (n.d.) The Systems Thinker – Causal Loop Construction: The Basics - The Systems Thinker. [Online]. Available from: https://thesystemsthinker.com/causal-loop-construction-the-basics/ (Accessed 6 August 2022).
Merali, F. (2006) Developing an explicit strategy towards social responsibility in the NHS: A case for including NHS managers in this strategy. Journal of health organization and management. [Online] 20 (4), 309–324.
Reitz, M. & Higgins, J. (2020) Speaking truth to power: why leaders cannot hear what they need to hear. BMJ leader. [Online] 5 (4), 270–273.
Shayan, N.F., Mohabbati-Kalejahi, N., Alavi, S. & Zahed, M.A. (2022) Sustainable Development Goals (SDGs) as a Framework for Corporate Social Responsibility (CSR). Sustainability (Basel, Switzerland). [Online] 14 (3), 1222–.
Williams, T., Jonny Klakegg, O., Walker, D.H.T., Andersen, B., et al. (2012) Identifying and Acting on Early Warning Signs in Complex Projects. Project management journal. [Online] 43 (2), 37–53.
Emerson, J., Wachowicz, J. and Chun, S. (2001) Social return on investment (SROI): exploring aspects of value creation. Available at: https://web.archive.org/web/20140812090247/http:/hbswk.hbs.edu/archive/1957.html (Accessed 6 August 2022).
NHS Confederation (2012) Building social value in the NHS. Available at: https://www.nhsconfed.org/resources/2012/06/building-social-value-in-the-nhs. (Accessed 6 August 2022).
NHS Northwest and CPC Limited (2010). Pan regional social value commissioning project, final report. Available at: http://www.webarchive.org.uk/ukwa/collection/117342234/page/1 (Accessed 6 August 2022).
Social Value Portal, The (2019) What is social value? Available at: https://socialvalueportal.com/what-is-social-value/ (Accessed 6 August 2022).
Independent Living Institute (2003) The independent living movement in the UK. Available at: http://www.independentliving.org/docs6/evans2003.html (Accessed: 6 August 2022)
Duffy, S (2009) In Poll, C., Kennedy, J. and Sanderson, H. (2009) In community: practical lessons in supporting isolated people to be part of community. Stockport: HAS Press, pp. 15-34.
Robert, G., Cornwell, J., Brearley, S., Foot, C., Goodrich, J., Joule, N. and Waite, D. (2011) What matters to patients? London: The King's Fund.
Social Care Institute for Excellence (2011) What is personalisation? Available at: http://www.scie.org.uk/socialcaretv/video-player.asp?guid=EDFF5119-2C47-4F20-B212-ED55B7A384A6 (Accessed: 6 August 2022)
Social Care Institute for Excellence (2012) Personalisation: making it happen: black and minority ethnic (BME) communities. Available at: http://www.scie.org.uk/socialcaretv/video-player.asp?guid=4286962f-9825-4322-81c7-a87253c347a4 (Accessed: 6 August 2022).
Social Care Institute for Excellence (2012) Personalisation: making it happen: the social worker’s perspective. Available at: https://www.scie.org.uk/personalisation/practice/social-workers/making-it-happen (Accessed: 6 August 2022).
Coalition for Collaborative Care (2019) Latest from the coalition. Available at: http://coalitionforcollaborativecare.org.uk/ (Accessed: 6 August 2022).
Ham, C. (2018) Integrated care. Available at: http://www.kingsfund.org.uk/topics/integrated-care (Accessed: 6 August 2022).
Huczynski, A. (2004) Influencing within organizations (2nd ed). London: Routledge. pp. 1-11, pp. 198-210, pp. 303-317.
King’s Fund, The (2012) Integrated care for patients and populations: improving outcomes by working together: a report to the Department of Health and the NHS Future Forum. Available at: https://www.kingsfund.org.uk/publications/integrated-care-patients-and-populations-improving-outcomes-working-together (Accessed: 6 August 2022).
King’s Fund, The (2016) Joined-up care: Sam’s story. Available at: http://www.kingsfund.org.uk/audio-video/joined-care-sams-story (Accessed: 6 August 2022).
King's Fund, The (no date) Making integrated care happen: a marathon not a sprint. Available at: https://www.kingsfund.org.uk/blog/2013/09/making-integrated-care-happen-marathon-not-sprint (Accessed: 6 August 2022).
King's Fund, The (no date) Making integrated care happen at scale and pace. Available at: https://www.kingsfund.org.uk/publications/making-integrated-care-happen-scale-and-pace (Accessed: 6 August 2022).
National Voices (2013) A narrative for person-centred coordinated care. Available at: http://www.nationalvoices.org.uk/publications/our-publications/narrative-person-centred-coordinated-care (Accessed: 6 August 2022).
National Voices (2013) Coordinated care. A single system definition and narrative. Available at: http://www.nationalvoices.org.uk/publications/our-publications/narrative-person-centred-coordinated-care (Accessed: 5 August 2022).
NHS England (2013) Integrated care pioneers announced. Available at: https://www.england.nhs.uk/2013/11/interg-care-pioneers/ (Accessed: 6 August 2022).
Nuffield Trust (2013) Developing a national strategy for the promotion of integrated care. Available at: http://www.england.nhs.uk/2013/11/01/interg-care-pioneers/ (Accessed: 5 August 2022).
Social Care Institute for Excellence (2013) Examples of integrated working. Available at: https://www.scie.org.uk/publications/integratedworking/integrated-working-examples.asp (Accessed: 5 August 2022).
Social Care Institute for Excellence (2013) Integrated working for better outcomes. Available at: https://www.scie.org.uk/publications/integratedworking/index.asp (Accessed: 5 August 2022).
Office for Public Management and Chartered Institute of Public Finance and Accountancy (2004) The good governance standard for public services. The Independent Commission on Good Governance in Public Services. London: Hackney Press Ltd.
Ataguba, J.E. & Mooney, G. (2010) A Communitarian Approach to Public Health. Health care analysis. [Online] 19 (2), 154–164.
Black, M. & Mooney, G. (2002) Equity in health care from a communitarian standpoint. Health care analysis. [Online] 10 (2), 193–208.
Lorna. Guinness & Virginia. Wisemann (eds.) (2013) Introduction to health economics . 2nd edition. Maidenhead, England?:, Open University Press.
McPake, B. (2020) Health economics?: an international perspective . 4th edition. Charles E. M. Normand, Samantha Smith, & Anne Nolan (eds.). Abingdon, Oxon?; New York, NY?:; Abingdon, Oxon?; New York, NY?:, Routledge.
Mooney, G. (2005) Communitarian claims and community capabilities: furthering priority setting? Social science & medicine (1982). [Online] 60 (2), 247–255.
Mooney, G.H. (2009) Challenging health economics . Oxford?:, Oxford University Press.
Palmer, G.R. (2008) Health economics?: a critical and global analysis . Maria Theresa. Ho (ed.). Basingstoke?:, Palgrave Macmillan.
YULE, B. & MOONEY, G. (1984) Perspectives on Health Economics. 1. An Introduction to Economics in Health Care. Family practice. [Online] 1 (3), 136–139.
Indicative learning resources - Web based and electronic resources
ELE – Course: Senior Leader Healthcare EGA (APP_DA_Senior_Leader_Healthcare_EGA) | ELE (exeter.ac.uk)
| Credit value | 30 |
|---|---|
| Module ECTS | 15 |
| Module pre-requisites | None |
| Module co-requisites | None |
| NQF level (module) | 7 |
| Available as distance learning? | No |
| Origin date | 07/10/2024 |
