Personalised care: A new relationship with people Nicola Kay, - PowerPoint PPT Presentation

Personalised care: A new relationship with people Nicola Kay, Deputy Director, Personalised Care Group www.england.nhs.uk

An integrated, whole population approach to personalised care www.england.nhs.uk 2

www.england.nhs.uk

Key features of personalised care for people Personalised care begins with the belief that people are the best integrators of care, rather than other forms of integration. The key features set out what someone can expect and experience when personalised care is implemented well • Everyone should : options including peer support and Have the chance to formally and community based resources to help informally review their care plan. • Be seen as a whole person within build knowledge, skills and the context of their whole life, confidence to manage their health valuing their skills, strengths and If this leads to a personal budget, and wellbeing. experience and important integrated personal budget or • relationships. Experience a coordinated approach personal health budget, a person will : that is transparent and empowering. • Experience hope and feel confident • Get an upfront indication of how that the care and support they much money they have available for receive will deliver what matters People who have a personalised care healthcare and support most to them. and support plan should : • Have enough money in the budget • Be able to access information and • Be central in developing their to meet the health and wellbeing advice that is clear, timely and personalised care and support plan needs and outcomes* agreed in the meets their individual information and agree who is involved. personalised care and support plan needs and preferences. • • Have the time and support to Have the option to manage the • Be listened to and understood in a develop their plan in a safe and money as a direct payment, a way that builds trusting and reflective space. notional budget, a third party budget effective relationships with people. or a mix of these approaches • Feel prepared, know what to expect • Be valued as an active participant in • and be ready to engage in planning Be able to use the money to meet conversations and decisions about supported by a single, named their outcomes in ways and at times their health and well being. coordinator that make sense to them, as agreed • Be supported to understand their in their personalised care and • Be able to agree the health and care, support and treatment options support plan. wellbeing outcomes* they want to and, where relevant, to set and achieve, in dialogue with the * and learning outcomes for children and achieve their goals relevant health, education and young people with education, health and • Have access to a range of support social care professionals. care plans. 4 www.england.nhs.uk

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Headline figures Further Personal Health IPC Programme diversification Budgets Neuro 39,338 disability 22,895 had some form of (testing the IPC PHBs at the IPC personalised model for Multiple end of Dec care plan at the Sclerosis and end of Q1 2017 similar conditions) 2017/18 This is a 13,729 Substance 75% had an integrated misuse increase personal budget (3 sites testing at the end of Dec on previous IPC model) 2017 year www.england.nhs.uk 14

Examples of progress Across Continuing Health Care, direct savings of c.17%; indirect savings of £4k per person per year 77% of people would recommend PHBs to others with similar needs 75% of people believe their health and wellbeing to have improved as a result of having a PHB WARRINGTON FYLDE COAST STOCKTON- NOTTINGHAMSHIRE ON-TEES Initial findings: Significant £19,000 saving in Personal health budgets reduction in unplanned transport costs for in end of life care - 83% hospital admissions for siblings with very were able to die in a place 85% improved or older people with frailty complex health conditions of their choosing, against maintained level of patient an average of 26% Lease their own adapted 35% reduction in activation (average shift of vehicle through a delayed transfers of 9.7 points), with attendant One week’s worth of personal health budget for care from hospital decrease in likelihood of traditional services funds journeys to day centre hospital admission six weeks of services 41% reduction in and respite, instead of a commissioned through a A&E attendances in the commissioned transport personal health budget final quarter package www.england.nhs.uk 7

www.england.nhs.uk/personalised-health-and-care-framework/ www.england.nhs.uk 8

Transforming Care • Expansion of PHBs for people with a learning disability, autism or both • Personalisation Networks • Building Blocks for Change workshops • Examples and stories of good personalised care across networks and with commissioners and practitioners • Support local progress in the development of person centred approaches • Share learning on what good highly personalised support looks like www.england.nhs.uk 9

AHPs and the personalised care agenda: working in partnership with people to achieve better outcomes How do I square my professional responsibilities with This is what I giving people choice came into health through PHBs? care to do in the first place www.england.nhs.uk 10

What the future holds www.england.nhs.uk

Plan for Personalised Care • Set out an ambitious plan for the future of personalised care • Fully mainstream personalised care into the way the NHS works and beyond • A core set of actions which will deliver the plan • Demonstrate the direct benefits as a result of achieving this plan • For people’s outcomes • For people’s experience • For the health and care system • Show how this plan can be achieved in practice • Develop and agree the approach and action plan with stakeholders • Intend to publish in July 2018 www.england.nhs.uk 12

Areas it will cover will include: Personalised Shared Community Social care and decision -based support prescribing making approaches planning Integration Personal Personalised Personalised across heath care care health, care infrastructure measures budgets and beyond www.england.nhs.uk 13

Questions and comments please! How do you see your role in supporting implementation of this agenda? How can the system help you do this? What barriers get in the way? www.england.nhs.uk 14

PHB experience survey www.england.nhs.uk 15

Thank you https://www.england.nhs.uk/personalised-health-and-care/ nicola.kay1@nhs.net @IPCEngland @NHSPHB #personalisedcare #futurenhs www.england.nhs.uk 16