Place Based Development
Tameside & Glossop
What is the purpose of the place based development?
To support students to develop their clinical learning opportunities, by embedding them into populations and communities. In turn, helping students to better understand the breadth of issues which influence a person’s health and well-being.
A person centred care approach is used, which allows students to understand how a person accesses heath care, their risk of certain illnesses and stages of recovery.
They will also see how patients respond to treatments and what support is needed to achieve their career goals.
What's the Difference
This is a local hospice providing a range of care for patients over the age of 18 with life limiting illnesses, residing in Tameside and Glossop. A placement with the Hospice provides an opportunity to experience the multidisciplinary team approach to holistic patient – centered assessment of symptoms, and management options, including psychological and spiritual support, complementary therapies, as well as conventional methods of care.
The Hospice understands reflection is an important part of growth as a healthcare professional, so students are encouraged to join decision making discussions, where clinical situations, with many possible treatment options, are considered.
There will also be opportunities to meet patients staying in Inpatients, in their Outpatient clinics, and in the Day Service START Clinic (START stands for Support Treatment Assessment Rehabilitation Therapy) as well as to meet the extended Palliative Care Team of Tameside and Glossop.
Students will experience front line end of life care for patients with Cancer, end stage heart failure, renal disease, respiratory conditions, and neurological conditions.
Students will accompany the Acute Clinical Nurse Specialist Team in Palliative Care.
On this learning experience, students will gain an understanding of the discharge pathways of palliative patients and funding streams. Assisting the palliative respite team whilst attending to personal care needs of palliative care patients.
Opportunities to gain experience of the foundations of nursing care, skin integrity, and oral care. Chance to attend a MDT meeting at Willow Wood to discuss all palliative care patients across Tameside & Glossop.
The Christie is one of Europe’s leading cancer centres, treating over 44,000 patients a year. It is based in Manchester and serves a population of 3.2 million across Greater Manchester & Cheshire. As a national specialist around 26% of patients are referred to The Christie from other parts of the country.
The Christie provides radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 10 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. They are also an international leader in research, with world first breakthroughs for over 100 years.
The Christie runs a large, high quality, dedicated clinical research environment where patients can participate in complex and early phase clinical trials, with around 400 trials taking place at any one time
Acute Kidney Injury Clinical Nurse Specialist – The Christie
Students will be exposed to patients at risk of Acute Kidney Injury (AKI) and those that have alerted with AKI on their blood results.
Students will learn about AKI and how it is managed for this group of patients. Students will experience patient assessments and escalation of care and the interpretation of blood results. In addition students will see areas of quality improvement work and change management.
Radiotherapy The Christie at ‘Oldham’
Students will encounter adult patients receiving radiotherapy, for either radical or palliative intent. Students will be working with a multidisciplinary radiotherapy team delivering External Beam Radiotherapy. Learning opportunities include; Pre-treatment planning, observation of various treatment delivery, reviewing treatment outcomes with the medical team and information gathering & support services.
Patient Recruitment / Research – The Christie
Students will gain an insight into how patients are selected for clinical trials. In total there are 9 Research Teams, which cover the following areas:
Gynaecology, Breast, Colorectal, Hepatobiliary/Neuroendocrine, Urology, Head and Neck, Haematology, Lymphoma, Lung, Melanoma, Renal, Upper GI, Early Phase, Cellular therapies, Rare Diseases (TYA, Sarcoma, CNS), Observational and Supportive care
Students will be given the opportunity to attend research clinics. Here students will experience new patients being screened, the informed consent process, follow-up appointments and medication reviews. Students will also be shown blood collection and the analysis processes. They will get the chance to visit the trials pharmacy.
Additional experiences will provide insights into how patients undergoing treatment on the Clinical Research Facility are supported. The Co-ordination team will demonstrate how data management strategies are employed.
Sepsis Nurse Specialist / Acute Oncology – The Christie
This learning experience will give students an insight into the patients who have been identified for suspicion of sepsis or have confirmed sepsis including neutropenic sepsis caused by cytotoxic chemotherapy. These patients may be identified during an emergency admission or they may already be an established inpatient. Students will learn how to recognise and identify a septic patient and how to initially treat and manage a septic patient using the NEWS2 national early warning score.
The Christie Surgical Theatres
This exciting learning experience gives students an insight into specialist surgery including; Robotic Surgery, Laparoscopic Surgery, HIPEC, Brachytherapy: Prostate volume study / Radioactive seed implants / High dose radiation Specialties: Plastic Surgery/Colorectal/Urology/Gynecology.
Students will experience the theatre complex where there are a total of 5 operating theatres (one of them laparoscopic and another two robotic). There are potential multiprofessional learning from other students including student nurses, operating department practitioners (ODPs), trainee nurse associates (TNAs) and physiotherapists.The following are potential learning experience placements associated with this pathway:
Hospital Learning Disability Service
This is predominantly a community based service working with adults with a learning disability (18 years and over). Students will experience a creative style approach to health care and witness how person centered practice is placed at the heart of this service. This is a varied team with a wide range of expertise, professionals include the community nursing team, behavioral support, GP liaison, hospital liaison, autism specialist and an epilepsy specialist.
Students will learn how speech and language therapy provides specialist support for those not just with communication difficulties but also eating and drinking difficulties. Students will also see how physiotherapy provides treatment and support to adults with a combination of learning disabilities and physical challenges to improve their overall quality of life.
Neighborhood Mental Health Team
Home Care Providers
The Bureau cater for a variety of clients, from younger adults struggling with unemployment or other barriers, to older clients who are experiencing loneliness and isolation.
Students will mainly be interacting with the latter clientele. Students will develop an understanding of how the voluntary sector can work in partnership with statutory services, and the kinds of support that are available.
Students will be given a detailed introduction to social prescribing, and how it fits with the wider community offer. Learning opportunities include a practical interaction with clients, an overview of other services on offer within The Bureau and a chance to learn from the team.
Tameside Adult Social Care Neighbourhood and IUCT teams
This is an opportunity for students to work in community neighbourhood teams. The clientele are adults over 18 who are eligible for social care support under the Care Act 2014. This includes young people in transition, adults with learning disabilities, adults with physical disabilities, chronic illness, older adults and carers, adults with dementia.
Students will explore the different roles within the multidisciplinary team, such as occupational therapists and social workers, gaining an understanding of the joint work that takes place within the neighbourhood and urgent care teams. Also opportunities to gain an understanding of eligibility criteria for adult social care and the values underpinning this work.
Community Response Service
CRS is open to anyone over the age of 18 who live within Tameside. Students will be working with service users including elderly vulnerable adults, adults with a learning disability, and young adults with health conditions such as epilepsy and patients with a long term or chronic health condition. Many are under the care of CRS although they have no other involvement with Social Services, but are reliant on the security of the telecare devices which enables them to live safely and independently within their own homes.
Students will gain an insight into what the care in the community is available and looks like once a patient is discharged from hospital. Students will gain an understanding of the way in which tele-healthcare can impact someone’s life and how, through the use of technology, an individual can live safely within their own home.
This learning experience will allow students to establish how the re-ablement team facilitate the processes and pathways to link in with Community Adult Services.
The overall purpose of the re-ablement service is to support their clients to maximise their level of independence, improve their health and well-being and enhance their quality of life whilst continuing to live within their own homes. The service actively encourages individuals to fully participate in the planning, delivery, monitoring and review of their service.
Students will support care workers in actively encouraging clients to rebuild and improve existing skills as well as learn and develop new skills where needed.
Home Care Providers
The following are potential learning experience placements associated with this pathway:
Students will get the opportunity to work alongside Health Visitors and support them in their primary roles to promote healthy lifestyles and prevent illnesses. Clients include families ranging from the ante-natal period to the age of 5 years old. Learning experiences include:
• Ante-natal and post-natal health promotion
• Supporting adults in the transition to parenthood
• Facilitating breastfeeding and all areas of infant feeding
• Assessing a child’s growth and developmental needs
• Collaborative working with other agencies to support children and families with complex needs
• Working with parents to identify risks to health and safety, and then plan to reduce these risks
• Signpost families to local services
• Partnership working with other organisations and professionals to safeguard and protect children.
Students will also experience the work of a School Nurse or specialist community public health nurses (SCPHNs) These nurses specifically look after the health needs of school-aged children and young people. They deliver public health services for school-aged children. Learning opportunities include:
• Participation at Core Group Meetings and Case Conferences (Child Protection)
• Completion of Health Assessments as required.
• Participation at illness panel meetings in school (poor school attendance due to health)
• Provision of public health teaching such as oral health, puberty, asthma awareness and anaphylaxis awareness.
• One-to-One work with children and young people around emotional health, sexual health & physical health issues (School Nurse Referrals)
• Provision of health care planning in school for children with medical needs
• Completion of Annual Looked After Child Health Assessments
• Participation in immunisation sessions.
Healthy Young Minds
Students will get the opportunity to access this service which is a Children’s and Adolescent’s Mental Health Service supporting an individual’s health and wellbeing who are diagnosed with mental health conditions.
Students will get an increased awareness of the CAMH service, including the processes and the multiple co modalities that are managed within this service.
Students will benefit from interprofessional learning opportunities with student psychologists, psychotherapist placements, nurse trainees, occupational therapists, speech and language therapists plus other medical / physical health placements.
Example - Place Based Mental Health Pathway Neighbourhood – Hyde
Excellent Supervision & Assessment
If you require any assistance around student placements, educational audits, student learning needs or practice supervisor/assessor information please refer to the contact details below:
Mobile: 07717 484151
E-mail: [email protected]
Place Based Lead at T&GICFT