Results for 'person-centred care'
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
This report summarises discussions from a roundtable event attended by older people and carer representatives, practitioners, providers and commissioners to identify how the NICE guideline on supporting older people with multiple long-term conditions and their carers could best be used and implemented. It also sets out practical examples, actions and ideas to help improve local practice. Small groups discussed how the guideline can help achieve three priorities that the Guideline Committee identified as most important for potential impact and the likely significant challenges. These were: empowering older people and carers; empowering health and social care practitioners; and integration of different care and support options to enable person-centred care. Suggested actions and practice examples in each of the three priority areas.
NHS CONFEDERATION, et al
Joint publication from the Association of Directors of Adult Social Services, Local Government Association, NHS Clinical Commissioners and NHS Confederation which describes what a fully integrated, transformed system of health and social care should look like. Sections look at what can be achieved through integration for individuals, communities, local health wellbeing systems, and Government and national bodies; what is needed to make integration happen; what has been learnt about successful integration so far; and the issues that local and national leaders need to tackle. Drawing on a selection of evidence, reports, case studies and local experience, the document highlights three key components for effective integration. These are: shared commitments – to improving local people’s health and wellbeing, providing services around the individual, and a preventative approach; shared leadership and accountability; and shared systems – such as information and technology, payment and commissioning models, and integrated workforce planning. The final sections outline questions for local and national leaders and summarise the key components for effective integration of health and social care.
BURD Hannah, HALLSWORTH Michael
This report explores the behavioural science theories that suggest new ways of enabling people and communities to take a more active role in managing their own health and provides an accessible introduction to the theories of change. The report is structured around the three areas of capability, opportunity and motivation which researchers have identified as needing to be present for behaviour to occur. It highlights that a multi-faceted approach is needed to enable effective self-care. It identifies five enabling factors that that can influence engagement and self-management behaviours: a growth mindset where people view capabilities as something that can be developed, removing ‘friction costs’, social networks, motivation and goal setting. It also suggests how these factors can be targeted in order to encourage these behaviours. Examples and case studies illustrate the application of the theories. The report is aimed at policymakers, commissioners, service designers and organisations working to promote more person- and community-centred approaches for health and wellbeing.
WOOD Suzanne, et al
This report explores the value of people and communities at the heart of health, in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities. It seeks to bring together in one place a wide range of person- and community-centred approaches for health and wellbeing. It provides an overview of the existing evidence base with a particular focus on the potential benefits of adopting these approaches. The report suggests that there is evidence from research and practice to demonstrate the benefits of person- and community-centred approaches, across three dimensions of value: mental and physical health and wellbeing – these approaches have been shown to increase people’s self-efficacy and confidence to manage their health and care, improve health outcomes and experience, to reduce social isolation and loneliness, and build community capacity and resilience, among other outcomes; NHS sustainability – these approaches can impact how people use health and care services and can lead to reduced demand on services, particularly emergency admissions and A&E visits; and wider social outcomes: these approaches can lead to a wide range of social outcomes, from improving employment prospects and school attendance to increasing volunteering. They also can potentially contribute to reducing health inequalities for individuals and communities. The report includes an outline of the ‘Realising the Value’ programme, which is designed to develop the field of person- and community-centred approaches for health and wellbeing by building the evidence base and developing tools, resources and networks to support the spread and increase the impact of key approaches.
COMMISSION ON IMPROVING URGENT CARE FOR OLDER PEOPLE
Final report from the Commission on Improving Urgent Care for Older People which provides guidance for those involved in designing care for older people and outlines eight key principles the health and care sector can adopt to improve urgent care for older people. The Commission was established out of a concern that the care system was not meeting the needs of older people, resulting in lower quality of care, a lack of out-of-hospital services as an alternative to A&E, not enough focus on prevention and early intervention, and delayed transfers of care. It brought together a range of experts, received over 60 evidence submissions; carried out visits to sites using innovative ways to deliver care; consulted with NHS Confederation members and patient and carer groups; and commissioned an evidence review. The report draws on the evidence to look at the case for change. It then outlines eight key principles that can be used when redesigning health and social care system: start with care driven by the person’s needs and personal goals; a greater focus on proactive care; acknowledge current strains on the system and allow time to think; the importance of care co-ordination and navigation; greater use of multi-disciplinary and multi-agency teams; ensure workforce, training and core skills reflect modern day requirements; leadership should encourage us to do things differently; and metrics must truly reflect the care experience for older people. Short case studies of innovative practice are included in the report, covering acute and primary care, voluntary sector and local government partners and commissioners.
Describes the journey taken over the last year by the integrated care pioneers. The 25 pioneer sites are developing and testing new and different ways of joining up health and social care services across England, utilising the expertise of the voluntary and community sector, with the aim of improving care, quality and effectiveness of services being provided. The report describes the progress, challenges and lessons learnt across the pioneers. A number of key themes have emerged, including: population segmentation to determine people’s characteristics, their needs and care demands; using the experience of people; providing proactive care; providing integrated care services; supporting integration through using shared care records; using technology to support different access points; analysing impacts through data; and removing financial disincentives. Also included within the report are pioneers’ stories which describe the core elements of their care models and showcase how these are impacting real people.
STUDDERT Jessica, STOPFORTH Sarah
This position paper sets out some of the challenges in achieving a fundamental structural shift in the health system, citing new evidence from health and local government professionals. The paper sets out the potential of reimagining health as place-based, taking an asset-based approach and focusing on shaping demands in the longer term and ultimately producing better health and wellbeing outcomes. Underpinning this approach is the recognition of the wider determinants of health, where fewer health outcomes result from clinical treatment and the majority are determined by wider factors such as lifestyle choices, the physical environment and family and social networks. Place-based health would mean reconceptualising ‘health’ from something that happens primarily within institutions, to involve all local assets and stakeholders in a shift towards something that all parts of the community, and individuals themselves, recognise and feel part of. This would mean the individual would move from being a recipient of interventions from separate institutions to being at the heart of place-based health. The paper intends to lay out the challenge for the Place-Based Health Commission, which will report in March 2016 and recommend practical steps for professionals in health and care to overcome organisational barriers – real and perceived – and make a fundamental shift towards an integrated system that puts people at the heart of it.
COALITION FOR COLLABORATIVE CARE
This discussion paper explores how to plan, develop and support an integrated workforce that routinely works in a person-centred, community-centred way. The paper focuses in four areas, looking at: mind-set challenges for person and community-centred care; the specific knowledge and skills that are needed; the importance of supportive working environments; and capacity, roles and workforce planning. The paper is intended to stimulate discussion. It briefly sets out some ideas on: the context and what we mean by person-centred, community-centred care; the workforce challenge; what is needed to create change at the local and national levels; and what action the C4CC partnership might take.
This paper sets out research to understand and work within the emerging landscape in which organisations find that the people they serve acquire greater prominence among their multiple stakeholders and power gradients have to adjust accordingly. Respect for the dignity of people and how organisations respond to their needs, wishes, gifts and aspirations are becoming pivotal. Drawing on a survey and participation of 20 sector leaders at a roundtable hosted by the University of Birmingham and funded by the Barrow Cadbury Trust, the research proposes a framework for organisations to review and, if necessary, restate the priority given to people (commonly called users), develop practice that encourages reciprocity in the design and delivery of products and services, and establish processes that are pervious and accountable to people and their networks. At the core of the framework is the concept of contingent capacity. Contingent capacity is purposeful, distributive and empowers workers (staff and volunteers), to listen to and respect people and, inspire their participation. The approach comprises three stages, which include: Purpose and Power – against a backdrop of more assertive citizens and a changing socio-economic environment, reviewing how the organisation continues to respect the dignity of the people it serves and ensures they are able to contribute to decisions that affect them; Reciprocal Engagement – recalibrating practice and culture to give greater priority to people and encourage deep and iterative engagement; and Outcome Plus – ensuring processes optimise value, not just to the organisation but, also, to the people and the wider communities around them.
SOCIAL CARE INSTITUTE FOR EXCELLENCE
This guide summarises the process and the key elements to consider in relation to using a strengths-based approach. Sections provide information on what a strength-based approach is; the information practitioners need to carry out an assessment; using strength-based mapping; and key factors that make a good assessment. It also looks at how local authorities can extend the use of the strengths-based approach from assessments to meeting needs and provides a summary of core local authority duties in relation to conducting a strengths-based approach. It should be read in conjunction with the Care and Support (Assessment) Regulations 2014 and Chapter 6 of the 'Care and support statutory guidance', published by the Department of Health.