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Our Declaration, My Declaration: Action for Person Centred Care
Monday 12 October 201511.15am – 12.15pm
Dr Martin McShane, Medical Director for Long Term Conditions, NHS England
&Beverley Matthews
LTC Programme Lead, NHS Improving Quality#A4PCC #LTCimp #LTCyearofcare
LTC Year of Care Commissioning Developing a Year of Care Capitated Budget approach for those with Complex Care Needs
• Programme information
• 5 Early Implementer sites
• 35 Fast Followers
• Whole Population Datasets
• Simulation Model
#A4PCC #LTCimp #LTCyearofcare
LTC Person Centred Care:Delivering Person Centred Care for People with LTCs
• Improvement Sites
• LTC Toolkit
• Snapshot Survey
• Simulation Model
#A4PCC #LTCimp #LTCyearofcare
LTC Learning CommunityEstablishing a Virtual Community for All to Share and Learn
• LTC Dashboard
• Case Studies
• Lunch and Learn Series
• The Bulletin
@NHSIQ @bev_j_matthews #LTCImp #LTCyearofcare
#A4PCC #LTCimp #LTCyearofcare
Action for Person Centred Care
o Taking action to make person-centred care for people with long-term conditions a reality
o Looking at what needs to change and why we need to change
o Co-produced with NHS England and Coalition for Collaborative Care and developed with health and care professionals, policy makers and people with long-term conditions
o What you can do:o Make a commitment embedding
patient-centred care in your work at www.engage.england.nhs.uk/survey/ltc-declaration
o Tell your teams about our worko Use the hashtag #A4PCC when you see
work that is relevant to person-centred care for people with LTCs
o Let us know of any events, activities or social media opportunities that we can join forces with you
#A4PCC – Action for Person-Centred Care
Date Topic Guest Speaker(s)15th Oct 2015 Health coaching for people with long term
conditionsPenny Newman, Medical Director,
Norfolk Community Health and Care and National Innovation Fellow
Andrew McDowell, Director The Performance Coach
15th Oct 2015 Practical strategies for innovating in health and housing
Tweetchat with @wecommissioners
Paul TaylorInnovation Coach - Bromford Lab
Will LilleyNew Ventures Manager, Bromford
Tweetchat in partnership with @wecommissioners
4th Nov 2015 Writing letters directly to patients
Tweetchat with @wecommissioners
Bev MatthewsProgramme Delivery Lead
NHSIQ
Coming soon Continuing the discussion about behavioural change and care planning
Angela CoulterKings Fund
LTC Lunch & Learn E-SeminarsEstablishing a Virtual Community for all to share and learn
#A4PCC #LTCimp #LTCyearofcare
#A4PCC – Action for Person-Centred Care
Action for Person-centred care with
A conversation with Katie
Not Just a Headache: Katieo Long-time chronic cluster headache patient
who blogs to tell her story and support others
o @notjustaheadacho www.clusterheadachelife.blogspot.co.uk/
#A4PCC – Action for Person-Centred Care
Dr Martin McShaneNational Clinical DirectorLong Term Conditions, Older People and End of Life Care
I
#A4PCC – Action for Person-Centred Care
Action for Person-centred Care:Our Declaration
Long term conditions: the facts
2o 15 million people in England with long term conditions
have the greatest healthcare needs of the population (50% of all GP appointments and 70% of all bed days)
o Their treatment and care absorbs 70% of NHS and social care budgets in England
o 30% have more than one LTC, which increases with age and deprivation
o People living longer but not always wello Focus on treating the disease not the persono Increasing evidence on over-treatment and harmo System working as individual components o 99.9% self management, 0.1% clinical time#A4PCC – Action for Person-Centred
Care
No LTCs (yet)Single/dominant
condition
Multiple
conditionsEnd of life
25m 15 - 20m 5m 330k
'Brief
interventions'
Self - management
training and apps
PAM 1
Care and
support
planning
Advanced care
plans / advanced
directions
Access to
EHR
Digital care
plan
Year of care
funding
PHB 2
IPC 3
1. Patient Activation Measurement2. Personalised Health Budgets
3. Integrated Personalised Commissioning
Wearables /
apps
Enablers:
Interventions:
Priority actions to support self care
#A4PCC – Action for Person-Centred Care
LTC Framework 4House of Care
o Empowered patient and carers
o Professional collaboration
o Best practice (clinical and organisational)
o Commissioning
Delivering person-centred co-ordinated care
#A4PCC – Action for Person-Centred Care
Why is person-centred care important for people with long term conditions?
5o Wellbeing is about more than just medically
managing a conditiono Is it acceptable for life to be just endured
and not really lived well?o It’s an ethical, social and financial issueo Shared decision-making is key o We need to take account of self-care, feeling
in control and the impact on mental healtho No one knows more about their condition
than the patient#A4PCC – Action for Person-Centred Care
Our Declaration 6o Launched at Expo 2015
o The importance of person-centred care for people with long-term conditions, what needs to change and why we need to change
o Co-produced with NHS England and Coalition for Collaborative Care and developed with health and care professionals, policy makers and people with long-term conditions
o We need to motivate and support health and care professionals to help us make it a reality
#A4PCC – Action for Person-Centred Care
7 My Declarationo We want health and care professionals to
declare their commitment to embedding patient-centred care in their work
o On a postcard or online at www.engage.england.nhs.uk/survey/ltc-declaration
o We want to create a two-way dialogue
o We want to hear what you are doing in your local area to support person-centred care
o We want to know how can we help you#A4PCC – Action for Person-Centred Care
8Using behavioral change to open
mindso Our Declaration, My Declarationo Building the brando Using social and digital media to spread the messageo #A4PCC (Action for Person-Centred Care)o Mini case studies to inspire and share best practiceo Grassroots campaign – foundation and acute trustso Understanding what CCGs and GPs needo Bespoke improvement supporto Animation and eBook about Our Declaration o LTC monthly newslettero Ethnographic work with Ipsos MORIo Toolkit of resources and productso Lunch and Learn webinars and Tweetchatso Clinical champions #A4PCC – Action for Person-Centred
Care
Person with long term
condition
9 What part will you play?o Make a declaration at
www.engage.england.nhs.uk/survey/ltc-declaration
o Connect and be part of the partyo Tell your teams about our worko Encourage them to make a declarationo Ask them to feed back thoughts and ideaso Use our hashtag – #A4PCC – when you see
work that is relevant to person-centred care for people with LTCs
o Let us know of any events, activities or social media opportunities that we can join forces with you
o Email us at [email protected] #A4PCC – Action for Person-Centred Care
YOU CAN MAKE A DIFFERENCE
Date Topic Guest Speaker(s)15th Oct 2015 Health coaching for people with long term
conditionsPenny Newman, Medical Director,
Norfolk Community Health and Care and National Innovation Fellow
Andrew McDowell, Director The Performance Coach
15th Oct 2015 Practical strategies for innovating in health and housing
Tweetchat with @wecommissioners
Paul TaylorInnovation Coach - Bromford Lab
Will LilleyNew Ventures Manager, Bromford
Tweetchat in partnership with @wecommissioners
4th Nov 2015 Writing letters directly to patients
Tweetchat with @wecommissioners
Bev MatthewsProgramme Delivery Lead
NHSIQ
Coming soon Continuing the discussion about behavioural change and care planning
Angela CoulterKings Fund
LTC Lunch & Learn E-SeminarsEstablishing a Virtual Community for all to share and learn
#A4PCC #LTCimp #LTCyearofcare
