To realise the full potential of personalised care and support planning will require going beyond putting single elements in place. The House of Care was developed by the Year of Care Partnerships to show what needs to be in place to ensure the benefits of care and support planning and ‘more than medicine’ activities are available to each person living with long-terms conditions.
The House of Care provides a framework for thinking about the full set of interdependent changes that are needed. Using the House of Care helps local teams work out which elements are missing and those areas that are priorities for improvement so that person-centred collaborative care can become the norm.
The House of Care emphasises that achieving person-centred, coordinated care based on effective care planning relies on four key elements across the local system:
- individuals should be engaged in decisions about their treatment, care and support and able to act on these decisions;
- professionals being committed to working in partnership with people;
- systems being in place to support this new way of working;
- having a whole-system approach to commissioning, making sure the resources are in the right place at the right time and that there is a thriving set of community activities in place.
NHS Sustainable Improvement Team (SIT) has developed a House of Care toolkit, in connection with NHS England Long Term Conditions Team and Coalition for Collaborative Care. The toolkit provides a framework to bring together all the relevant national guidance, published evidence, case studies and information for people and their carers. It also includes information on what resources are required to achieve person-centred care, and where to find additional information.