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S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
S78 - Day 1 - 1430 - Care support and planning in practice
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S78 - Day 1 - 1430 - Care support and planning in practice

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  • 1. Care and Support Planning in practice Lindsay Oliver: National Director for the Year of Care partnerships Laura Robinson : Policy and Communications Advisor ; National Voices Sue Roberts : Coalition for Collaborative care / Chair Year of Care Expo: Session S78: March 3rd 2014
  • 2. Have confidence in doctors and nurses? Feel listened to/involved? Take their tablets as prescribed Outcomes as good as could be?  Get regular checkups? People with long term conditions…. Would like to do more for themselves ? Have confidence to manage day by day?        Year of Care
  • 3. Hours with health / social care professional = 4 hours in a year Self-management = 8756 hours in a year The individual’s perspective
  • 4. The Challenge! 15 Million people live with long term conditions in England Care and support planning can make it personal for everyone!
  • 5. International Evidence Base Reproducible intervention >3000 practitioners and 40 quality assured trainers Year of Care Training and Support Team
  • 6. Care and support plans versus Care and support planning Having better Conversations  Year of Care
  • 7. Care and Support Planning : in the beginning Agreed & shared ‘care plan’ Information gathering Professional Story Information Sharing Person’s Story Goal Setting and Action Planning  Year of Care
  • 8. I got more information out of it than I ….did previously. …they were probably giving us the information,(but) they were giving it us in a different way. [PWD12] Care and support planning – being systematic 1st visit/ contact Between contacts 2nd visit/ contact … Absolutely 100% better ……for me and for the patients.[GP} Information Sharing and Reflection Agreed and shared goals and actions (care plan) Consultation and joint decision making Information gathering  Year of Care
  • 9. 1. Prepare Getting ready for the care and support planning discussion • clear about purpose • collecting useful and important information • taking time to think and talk with other people • what matters most to you • what do you want to get out of the consultation
  • 10. 2. Discuss  Year of Care Review Action planning Goal setting Explore and discuss Gather and share stories Care Planning Consultation Information Sharing and Reflection Agreed and shared goals and actions (care plan) Consultation and joint decision making Information gathering
  • 11. 3. Document Writing down the main points from the discussion • the main points that you have talked about • the plan belongs to the person • easy to understand and use • also part of the main health and care record
  • 12. 4. Review Checking how things are going by • Self monitoring • Support programme / friends • Review with the care and support partner that helped create plan
  • 13. The House of Care Preparation for discussion Information Structured education Emotional & psychological support Care and Support Planning Attitudes and Skills Integrated Team working Champions and role models Admin for prompts, tests, assessments IT support for care and support planning Identifying population Key contact and navigation
  • 14. Purpose of today’s event More than Medicine
  • 15. Building the House • Part of local strategy for LTCs • Steering Group with senior buy in • Quality assured training which links attitudes, skills and infrastructure • Hands on support for practical change
  • 16. Impact ……I'm listened to …….you may not have all the answers …….you’ve helped me work things out  Year of Care
  • 17. Healthier living ‘I no longer smoke (Gave up 12 months ago) . I take the symptoms more seriously - try to nip chest infection in the bud’ ‘I achieve a lot – I have become very conscious of what I eat and do more exercise. I started going to the gym to lose weight’  Year of Care
  • 18. Sustained improvement ‘Each time I get a greater understanding of my condition and understand more about how I can go about maintaining and improving it’. (P8)  Year of Care
  • 19. “ ‘I enjoy doing the clinic a lot more now… working with them rather than at them’ Better for Staff too  Year of Care
  • 20. ‘The new pathway ….. more efficient in time for both patients and health care professionals.’ (Practice team member) Practice organisation and resources Cost neutral at practice level Pre Year of Care : £21 Post Year of Care : £21  Year of Care
  • 21. Clinical care…….. Improving too! Tower Hamlets 2006: Worst 10% in England 2012: 72% received all 9 processes in National Diabetes Audit: Best in England Patient perceived ‘involvement in care’ rose from 52-82% Diabetes ‘control’: 24 - 35 % (national average = 19%)
  • 22. Integration / coordination •At the personal level •Between health and social care •Between primary and specialist health care Tower Hamlets: 2012 Specialists attend 90% of quarterly primary care cluster multidisciplinary meetings  Year of Care
  • 23. Launching today
  • 24. Supporting local communities to build their House of Care Find out more: www.coalitionforcollaborativecare.org.uk Twitter : https://twitter.com/Co4CC
  • 25. What is care and support planning? An introduction to our guide
  • 26. The ‘why’ 1. Member feedback: improves outcomes but despite commitments, is not happening enough 2. House of Care: engaged, empowered individuals 3. Care Bill: care and support planning in legislation 4. Integration: care coordinated around the individual, integrated personal budgets
  • 27. Our aim → Create a common understanding of what care and support planning means across health and social care → Raise awareness of the approach amongst those who could benefit.
  • 28. The ‘how’ • What is care and support planning and why do we need it? • Overarching principle • 4 stages • Identified that it would be useful to have more information for people who use services and professionals
  • 29. The ‘how’
  • 30. The ‘how’ • c200 individuals signed up. • Health and social care professionals, commissioners, providers, academics, people who use services, carers
  • 31. The ‘what’
  • 32. The ‘what’
  • 33. The ‘what’
  • 34. The ‘what’
  • 35. The ‘what’
  • 36. The ‘what’
  • 37. The ‘what’
  • 38. The ‘what’
  • 39. Get involved • Tweet about the guide #careandsuppportplanning • Share the guide and the films with your networks • Endorse the guide • Share you stories • Help us develop additional content • Share your views on professional summary
  • 40. Contact Lindsay Oliver Sue Roberts Enquiries@yearofcare.co.uk www.yearofcare.co.uk Laura Robinson, National Voices Laura.robinson@nationalvoices.org.uk

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