National Voices on person centred care
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Person-centred care: slides for a presentation to health and care leaders in Manchester on 12 March 2014 on implementation of the "Better Care Fund" for more integrated care. How to keep the focus on people.
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National Voices on person centred care
- 1. Patient power and voice in the new health and social care world Health and care as if people matter Jeremy Taylor, 12 March 2014
- 3. What matters to us? • Access • Information • Communication • Involvement • Family and friends • Privacy, confidentiality and dignity • Support for self-care and independence • Personalised service, coordination and continuity • Practical support • Emotional support
- 4. What matters to us? • I want to see a doctor • I want a service I can trust • I want to know what’s going on • I want to be treated as a person • I want a say • I don’t want to be passed from pillar to post • I don’t want to repeat my story every time • I want to be in control • I want to be looked after • I’m in pain. I’m exhausted • I’m not happy about the care my Mum is getting
- 5. Living with ..... People as managers
- 6. Out-of- Hours Doctors GP District Nurses Social Worker Malcolm & Barbara Consultant Continence Adviser Speech & Language Adviser Dietician Community Dentist Occupational Therapist Equipment Service Physiotherapist Alternating Mattress technician Wheelchair Service Oxygen serviceDirect Payments Team; Rowan Org. Alzheimer’s Soc outreach worker Care team 2 live-in carers (alternating weekly) Replacement carer [Some night nursing – Health] Emergency carers & Barbara The Web of Care (Last 7 yrs) Dementia Advisory Nurse?
- 7. The house of care
- 8. Person centred coordinated care “I can plan my care with people who work together to understand me and my carer(s), allow me control, and bring together services to achieve the outcomes important to me.” Informatio n Informatio n My goals/outcomes My goals/outcomes CommunicationCommunication Decision makingDecision making Care planningCare planning TransitionsTransitions 8
- 9. Goal setting and action planning Care and support planning © Year of Care
- 10. “More than medicine” • Self-management • Family • Friends • Neighbours • Peer-supporters • Befrienders • Advocates • Community health champions • Patient and lay leaders • Voluntary sector organisations
- 11. You can’t do this alone! • The world is too complex* • The duties too onerous • The money insufficient • The health and care workforce too stretched • The needs go beyond narrowly clinical • Statutory agencies can’t do this alone! * Many to Many: how the relational state will transform public services, Muir and Parker, IPPR, Feb 2014
- 12. Changing models of care From: To: Patients as recipients People as partners and managers of their health Primarily medical Increasingly social Professionals designing services Co-design of services Mobilising doctors, nurses and drugs Mobilising citizens and communities Treatment plans Participative care and support planning Clinical outcomes Quality of life outcomes Hospital focus Out of hospital focus
- 13. How much do you want let go?
- 14. A care system in which people matter • We have rights • We define success • We are partners • We are managers • We are leaders • We are all part of the workforce • No decisions about us without us
- 15. • Thanks for listening • www.nationalvoices.org.uk • Follow us on Twitter • @NVTweeting • @JeremyTaylorNV
Editor's Notes
- Builds on current skills of helath and social care professioanls (Lindsay / Laura – I have to redo the formatting here) Care planning is about taking a systematic approach to that conversation – something that medics here will be familiar with; in this case starting with information gathering , sharing and unpacking and then through a process of discussion and debate identifying the person’s own goals and action plans as well as any clinical work and then recording this. What makes it different from a usual clinical consultation is not just the mutual goal setting and action planning but what goes on up here (refer to person's story) . To enable this to be a true meeting between experts the consultation needs to be prepared for properly; a way must be found not just to identify the professional story, the usual tests and information in the clinical record but the persons story , what life’s like and how its different since the mother in law with dementia came to stay. The YOC care pilot sites realized that it was not just what when on in the consultation that was important – but what went on around this to make it possible.