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How many patients can community matrons successfully case manage?

journal contribution
posted on 2023-05-17, 20:04 authored by Sargent, PL, Boaden, R, Roland, M
Aim To describe actual patient caseload sizes among case managers for long term conditions and explore issues of caseload manageability. Background Department of Health guidance advises that community matron case managers for long term conditions should manage caseloads of 50–80 patients. However, there is currently no evidence to justify these caseload targets. Method In-depth interviews were conducted with 46 case managers for long term conditions, five clinical leads and six programme leads across six Primary Care Trusts. Findings Case managers had caseloads of 10–55 patients each, although numbers fluctuated from week to week. The current caseload target was regarded as difficult to manage. Heavy caseloads were perceived to result in a shift from proactive care towards reactive care, decreased quality of care and increased hospital admissions. Conclusion Case managers for long term conditions are struggling to achieve and maintain caseload targets. Further research is necessary to identify the most appropriate caseload size and provide an evidence base for policy. Implications for nursing management Programme leads and managers need to carefully assess the local situation, the characteristics of the target population and the practicalities of delivering the model of care before identifying appropriate caseload targets.

History

Publication title

Journal of Nursing Management

Volume

16

Pagination

38-46

ISSN

0966-0429

Department/School

Tasmanian School of Medicine

Publisher

Wiley-Blackwell Publishing Inc.

Place of publication

United Kingdom

Rights statement

Copyright 2007 The Authors

Repository Status

  • Restricted

Socio-economic Objectives

Nursing

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