Bristol CCG Personalisation Strategy Babs Williams Long Terms Conditions Programme Lead
Overall aim of the Personalisation Strategy To establish a people powered approach to commissioning that shifts the culture and practice of care to be better co-ordinated and person-centred.
Links to other strategies Self Care Strategy Patient and Public Involvement Strategy Three year Strategy for Personal Health Budget Implementation and Operation for NHS Continuing Healthcare (adults only) eligible service users Personal Health Budgets (PHB): Continuing Healthcare (CHC) progress, financial risk and CHC PHB three year Strategy Equality and Diversity Strategy
The Self Care Strategy Aim To work towards a future state in which patients are empowered to self- care, taking responsibility for their own health and wellbeing, and where health and social care professionals are equipped with the tools, techniques and resources to support patients on this journey.
Steering Groups-Principles of Self Care
The House of Care
Engaged empowered patient Organised proactive system Partnership = Better outcomes The evidence base in all long term conditions In England : The Diabetes NSF Internationally: The Chronic Care Model - Wagner
Engaged, informed patient HCP committed to partnership working Organisational processes Commissioning - The foundation Year of Care
Engaged, informed patient HCP committed to partnership working Organisational processes Commissioning - The foundation Consultation skills / attitudes Integrated, multi- disciplinary team and expertise Senior buy-in and local champions Prepared for consultation Information / education Emotional and psychological support Test results / agenda setting prompts: beforehand Contact numbers and safety netting IT: clinical record of care planning Know your population Year of Care Commission care planning Quality assure and monitor Establish /publicise menu of community support
The Key Aims of Year of Care It is firstly about making routine consultations between clinicians and people with long-term conditions truly collaborative, through care-planning and then about ensuring that the local services people need to support this are identified and available, through commissioning
Bristol “House of Care”
Purpose of today’s event More than Medicine
Linking with commissioning MENU OF OPTIONS Education Weight management Screening for complications Telephone review Smoking cessation advice Local authority exercise programme Specific problem solving Buddying Gardening groups Befriending Volunteering Macro-level commissioning by the commissioner (PCT/practice) on behalf of the whole population Individual patient choices via the care planning process = micro-level commissioning Commissioning at micro and macro levels
The journey so far…. Local initiatives relevant to personalisation Self care Telehealth Social prescribing Personalised care planning Shared decision making Personal health budgets Health champions programme Better Care Fund