Tag Archives: personalised care

NHS Long Term Plan signals expansion of personalised care

NHS England has today (7 January 2019) launched its Long Term Plan which includes a commitment to rolling out personalised care to five million people over the next ten years.

The plans will ensure that many more people have choice and control over their mental and physical health.

This includes the expansion of personal health budgets with 200,000 people set to benefit from one in the next five years. Around 750,000 people with a long term health condition will also receive a written personalised care and support plan to manage their condition.

Social prescribing also features significantly in the Plan and 1,000 link workers will be recruited for GP practices this year and up to 900,000 people will benefit from social prescribing and community-based interventions by 2024.

Personalised care has been made a priority in the Long Term Plan following a decade of evidence based research working with patient and community groups. Evidence shows that personalised care improves people’s health and wellbeing, joins up care in local communities, reduces pressure on stretched NHS services and helps the health and care system to be more efficient.

Anna Severwright, co-chair of C4CC commenting on the Plan, said: “It is very encouraging to see personalised care feature strongly in the Long Term Plan. As someone with multiple long-term health conditions I know the huge difference it can make when care is personalised and when you are genuinely listened to and recognised as an expert in your own condition – and your own life.

“We now have a fantastic opportunity to make personalised care a reality for many more and ensure that people get the same choice and control in their healthcare as they would expect in every other part of their lives.”

Read Anna’s blog post.

Nigel Mathers, co-chair of C4CC added: “The C4CC partnership has championed personalised care for many years and we are pleased to see the NHS Long Term Plan includes a commitment to its expansion.

“Great progress has already been made and growing evidence supports a personalised approach to healthcare but there is much more to be done to realise the ambitions set out in the Long Term Plan. The success of these plans will require support across the sector, and many organisations and groups, including professional bodies, health organisations and the community and voluntary sector have an important role to play in helping to make personalised care ‘business as usual’ for the NHS.

“C4CC and our partners are looking forward to supporting the NHS with these exciting but challenging plans.”

James Sanderson, Director of Personalised Care, NHS England said: “A one-size-fits-all health and care system simply cannot meet the increasing complexity of people’s needs and expectations. Evidence shows that people will have better experiences and improved health and wellbeing if they have the opportunity to actively shape their care and support. As local health and care organisations work together more closely than ever before, we are also seeing that individuals can be the best integrators of their own care.”

The NHS Long Term Plan can be downloaded here.

A blog post from James Sanderson highlighting how the Long Term Plan puts people at the heart of the system can be read here.

A case study highlighting how Dylan has used a personal wheelchair budget to live independently for the first time in his life can be viewed here.

Reinforcing the human and healing aspects of psychiatry

Dr Jed Boardman and Dr Subodh Dave, co-chairs of the Royal College of Psychiatrists Person-Centred Training and Curriculum Scoping Group, blog about the need for training to reinforce the human and healing aspects of psychiatry.

Andrea Sutcliffe, the incoming head of the Nursing and Midwifery, has suggested that nursing needs to rediscover the humanity inherent in its role. This need for rediscovery is not confined to nursing and other professions will recognise the need. Witness the plethora of recent books by clinicians on their own personal and professional experiences. Rediscovery for health and social professionals means not only recognising that patients are people, but that practitioners are people too.

How might the training of practitioners contribute to this? How might we reinforce the human and healing aspects of practice as we move into an ever-changing future? Future generations of practitioners will need the skills and capacities that enable us to listen to people who seek our help, to understand and support them in the social context of their lives, and to place an increased emphasis on the active roles they can play as citizens and partners in care processes. They will need a knowledge of both biological and social sciences, as well as the ability to adapt to changing social trends and service delivery.

Person-Centred approaches may provide one of the components needed for these challenges and the Royal College of Psychiatrists (RCPsych) has recently published a report on Person-Centred Training for core trainees. They conclude that person-centred approaches should provide the overarching orientation for psychiatric practice and should be central and explicit throughout the curriculum and consonant with the expected values and competencies of future practitioners. Significantly, the RCPsych’s Scoping Group on Person-Centred Training, comprised not only of psychiatrists but others with expertise in psychiatric education, clinical practice, lived experience as well as many combined experiences.

If we are to reinforce the importance of personhood in training, then our curricula should be explicitly person-centred in its language as in its content. Training must equip trainees to use a range of person-focused approaches in their daily clinical practice, such as shared decision-making, self-directed support, co-production, collaborative care and support-planning as well as ethics, human rights, community engagement and social inclusion. But perhaps most importantly the role of service users, carers and patient representatives in planning and delivering training courses and supplementary skills training must be strengthened.

Read the report, Royal College of Psychiatrists. Person-centred care: implications for training in psychiatry. College Report CR215. Royal College of Psychiatrists, 2018