Transcript Document
Self-care and personalisation: putting patients, service users and carers in control A London Health and Care Integration Collaborative event Monday 1 December 2014 Session 2.1 #bettercareLDN Developing personalised approaches Simon Galczynski Sandy Marks Clare Henderson Making it Real – where it began Islington Personal Budgets Network meeting June 2013 Workshop to agree what co-production means in Islington Islington Personal Budgets Network meeting June 2013 Investing in developing experts by experience Islington Personal Budgets Network meeting June 2013 Encouraging others to lead Working together as equals Islington Personal Budgets Network meeting June 2013 Outcomes via co-production “I” statements adopted across health and social care A joined up approach that recognises differences in approach and culture but common aims. A single approach and policy for ‘personal budgets’ PA register Small working groups agreed a low cost way forward Links for Living website Experts by experience input via mystery shopping Co-produced Easy Read documents MIR Action Plan, MIR Co-production concordat, Benefits information, N19 Pilot Evaluation, Personal Budgets, Direct Payments Training and learning Co-produced training and e-learning programmes about personal budgets and independent living Wall of achievement Why is person centred care important to us? • Patient activation critical to help people stay well longer, and to get better sooner after acute illness • Improved patient and clinician satisfaction • Islington CCG 5th most deprived borough in London • Huge health and social inequalities • High prevalence of Long Term Conditions • Better use of resources Providers • Better outcomes • patient activation • quality of life • patient experience Patients Outcome & Experience The House of Care – our model for care planning Enhanced Recovery Pathway Ethos embedded in some services Organisational processes DESMOND/ HeLP Diabetes Engaged, informed patient Expert Patients Programme Co-Creating Health SMP & Reunions Self Care Working Group HCP committed to partnership working Personal health budgets Care planning in longer appts & prior to MDT teleconference Commissioning – The foundation Navigator Role- Age UK Islington Programmes to support healthcare professionals and patients Self Care CQUIN/ LCS/VBC Coproduction workshops Measuring outcomes Using PAM in Islington • Measure to assess the impact of initiatives across Islington (as a totality) on patient activation • Before and after measure of patient education/support programmes currently set up and running • Questionnaire to be sent to all patients with LTC on practice registers, scored and number recorded on patients EHR. • To identify opportunities for providing tailored interventions based on an individual’s level of activation What’s working well People Over 20 personal health budgets 82% COPD have management plans 42% YOC reviews for people with diabetes Professionals Staff satisfaction Recognition with HENCL award Champions eg PHB Process Commissioning Longer appointments enabling better conversations Patient involvement in the process Good collaboration across the patch Pathways with care planning have offers for self care and PHB Move to integrate disease specific approach Challenges People Deprivation and low levels of activation Reaching people Interest in PHBs low Professionals Pressure of time “I’m already doing this” unknown unknown Reinforcing new approach Process NHS E care planning template Commissioning Annual funding cycle challenge to providers IT systems don’t support shared care and support plan Scaling up/building capacity More than disease specific sils What we have learnt Takes time Need flexibility of delivery model Ongoing support – patients and clinicians in new ways One size doesn’t fit all Senior leadership from clinical community Integrate with concurrent initiatives Importance of getting the language right Care planning documentation Teams rather than individuals inter-professional learning together Thank you