1. Adapting and adopting the Buurtzorg model
Early lessons from the UK experience
Presentation by Brendan Martin, Public World
NHS England study visit
January, Almelo, The Netherlands

2. Buurtzorg vision to Support Independence
Text
Buurtzorg strives to provide solutions for clients who require care but want to maintain their independence and improve their quality of life. The Buurtzorg Onion Model serves as the starting point.
People want to control their own lives as long as possible
·  People always strive to maintain or improve their own quality of life
·  People seek social interaction
·  People seek ‘warm’ relationships with others (friends)
Personal situation
By kind permission of Buurtzorg 2015 2
All content © Public World 2015

3. Key challenges of adapting Buurtzorg to British contexts
Climate and culture: trust in enabling freedom with responsibility at the frontline
Risk perception: self-managed teams and management control
Knowledge: learning to integrate around client, mobilise informal networks and work in self-managed teams
Structures: institutional and financial separation of health and social care
Regulation: complex governance and safeguarding arrangements
Business case: outcome-based not activity costing, and higher unit costs but overall savings
Resources: costs of experiments and transition
All content © Public World 2015 3

4. Why Britain needs freedom and responsibility at the front line
“The patient must be first in everything that is done: there must be no tolerance of substandard care; frontline staff must be empowered with responsibility and freedom to act in this way under strong and stable leadership in stable organisations.”
Francis Report into Mid Staffs, February 2014, paragraph 1.118
All content © Public World 2015 4

5. Public World Buurtzorg - test & learn support pathway
Check and review point
Check and review point
Developing a shared understanding
Scoping and creating the test site(s)
Training and establishing the team(s) 1. 2. 3.
Agreeing the scope
5 days team training
Introduction to Buurtzorg model of care
2.5 days coach training
Compliance and governance framework
Creating environment to support the teams
Ground rules inc. HR policies
Assessment of current situation and ambition
1 day training for managers & leaders
Configuration of Test
Test Plan
Define outcomes & benefits
Test team(s) visit Buurtzorg team
Understanding & adapting the model in context
Benchmark data
Metrics and evaluation criteria
Desired outcomes and benefits
Determine Governance arrangements
Public World’s role and deliverables
Individual mindsets
Check and review points
Readiness of organisational architecture
Leadership & strategic view
Review Learning
Revise activities

6. Public World Buurtzorg - test & learn support pathway
Check and review point
Check and review point 4.
Supporting the test sites 5.
Scaling
Support for the teams & Mid-Office
Rolling existing new teams into the model
Guiding the process for teams to flourish
Consolidation learning into wider system
Challenging & reducing processes
Supporting teams to act on learning
and adapt solutions from other teams & tests.
Evaluation against desired outcomes & benefits
Individual mindsets
Check and review points
Readiness of organisational architecture
Leadership & strategic view
Review Learning
Revise activities