Personalised care
The NHS Long Term Plan developed a new model called Personalised Care. Personalised care represents a major practical change to the NHS as people will get more control over their own health, and more personalised care when they need it.
In this section:
What is Personalised Care?
Comprehensive Model of Personalised Care
Personalised care through six approaches
What our Trust is doing to support the Personalised Care approach
What is Personalised Care?
Personalised Care is all about looking at you as a whole person not just an illness and building support around what is important to you.
- Understanding 'what matters to you' is central to personalised care.
- Building on your strengths and promoting your independence.
- Choice plays a big factor in everyday life, and it should be no different when it comes to decisions about the care you receive for your physical or mental health.
- It is a whole system approach that will allow a number of services across health, social care, public health and community to be linked together around you.
- The aim is to shift from a one-size-fits-all health and care system and deliver better outcomes and experiences to you.
Most importantly, you get an equal say in planning the care you receive. This means you get support to manage your health and wellbeing, instead of just getting treatment when you are ill.
Comprehensive model of Personalised Care
Personalised Care is based on a universal model developed by NHS England and referred to as The Comprehensive Model for Personalised Care. It is an all-age, whole population approach to Personalised Care.
Personalised care through six approaches
The NHS has developed a comprehensive model of personalised care. It says that people will access personalised care through six approaches which are:
1. Shared decision making
Working in partnership with my clinician and wider care team.
We want you to play an active part in your care and treatment, based on 'what matters to you'. Making sure you understand what's going on with your health, so you can make better decisions around your care and treatment. Shared decision making is the term the NHS and healthcare use to describe this; when people and doctors, nurses or health care professionals work together to make evidence-based decisions centred on what matters to you and your goals.
What does this mean?
It means you get support to:
- Understand your care, treatment, and all the support options available.
- Know the risks, benefits, and what might happen with each option.
- Make an informed decision about what you want to do.
- When you understand what's going on with your health, you can make better decisions around your care and treatment so it's ok to ask questions.
2. Enabling Choice
Choosing from the available options.
Gives people choice over the treatment and the services they can access.
This can be supported by you being able to:
- Discuss the different options available with your healthcare professional.
- In some cases, be given the opportunity to choose a suitable alternate provider.
- You are given information that is accessible to help you make your decision.
- You are given sufficient time to consider what is right for you.
3. Building my knowledge, skills and confidence
Health coaching and supported self-management.
'Supported self-management' is the term the NHS use to describe the ways healthcare services will encourage, support and empower you to manage your long term physical and mental health conditions. Supporting you to look after yourself and improve your health and wellbeing outcomes.
Using health coaching, education, and peer support can help people with long-term conditions get more knowledge, skills, and confidence to manage their own health and wellbeing better.
Your healthcare professional will work with you to help you to manage your health condition.
They will:
- Find out how well you understand your health condition and how confident you are to manage it.
- Focus on what matters to you and build on your strengths.
- Put support in place that works for you with the aim of increasing your knowledge, skills and confidence.
An opportunity for you to:
- Focus on improving your health outcomes by working with you to set personalised goals.
- Self-management education: helping you to develop the knowledge, skills and confidence to manage your health condition.
- Peer support: Connecting you with others who have the same condition.
4. Social Prescribing
Connecting to help and support in my community
Someone may have factors in their life that they are worried about that is impacting on their health and wellbeing. By connecting with help and support that's available in your local community can help you find solutions to the causes, such as support with housing, debts, finances or employment.
How can Social Prescribing help?
A social prescribing link worker is part of your General Practice team. Your GP, a nurse or another Primary Care professional can refer you to a social prescribing link worker. They will focus on what matters to you and work with you to find out what a good life looks like for you.
They can support you to access local community, voluntary and other support services. Or they might help you find information and guidance by using a bit of inside knowledge and telling you about local resources that can help you.
What is social prescribing?
Find out who provides social prescribing in your area by visiting: Social Prescribing and Community Based Support - NHS Nottingham and Nottinghamshire ICB
Low level community support
Click the below buttons for more information about local community support available through Nottinghamshire County Council and Nottingham City Council:
5. Personalised care and support plans
Designing my own plan, supported by professionals.
Personalised care and support planning is the process that enables you to have a structured conversation about your care and treatment with your healthcare professional.
This should include:
- What matters to you.
- Your individual strengths and needs
- What you can do to manage your health yourself.
- What support you need from services and from other people you know.
- Your identified personal support networks such as carers, family, friends
As part of personalised care and support planning you should:
- Be seen as a whole person within the context of your whole life, valuing your skills, strengths and experience and important relationships.
- Experience hope and feel confident that the care and support you receive will deliver what matters most to you.
- Be able to access information and advice that is clear, timely and meets your individual information needs and preferences.
- Be listened to and understood in a way that builds trusting and effective relationships with people.
- Be valued as an active participant in conversations and decisions about your health and wellbeing.
- Be supported to understand your care, treatment, and support options and, where relevant, to set and achieve your goals.
- Have access to a range of support options including peer support and community-based resources to help build knowledge, skills, and confidence to manage your health and wellbeing.
- Experience a coordinated approach that is transparent and empowering.
6. Personal Health Budgets
Managing my own budget and support, with help if I choose.
What is a Personal Health Budget?
It is a set amount of money to pay for a person's agreed health and wellbeing needs. This is planned and agreed between you and your local Integrated Care System (ICS). The ICS is a local team of NHS and council groups that work together to plan and deliver local health and care services.
This is not new money. It is just a different way of spending existing health funds to meet your specific needs.
Personal health budgets give people with long-term conditions and disabilities more choice and control over the money spent on them and the support they get.
NHS England planned for 200,000 people to have personal health budgets by March 2024, letting them control their own care.
What our Trust is doing to support the Personalised Care approach
We are committed to putting you at the centre of your care. At Nottinghamshire Healthcare we support Personalised Care as evidence shows it helps you:
- Feel safe and supported throughout your treatment.
- Be involved in planning your care, so decisions reflect what's important to you.
- Get the best results for your recovery and progress, supporting your long-term health.
This means we are going to focus on:
- Valuing your input: We see you as an active participant and expert in your own life.
- Plans are developed with you to fit the context of your whole life, not just your medical needs.
- By working together on personalised care, we have a better chance of successfully supporting you to reach your goals.
- Involve family, carers and support networks of people using services as far as possible in decisions, as a partner in care and provide them with the information they need to support the person using services and their own wellbeing.
Below are some of the key areas we are currently working on:
- That everyone has a full care and support plan that is co-developed and agreed with you, and where appropriate, involves your family, carers and support network.
- Our care and support plans will meet the national personalised care planning standards and should be accessible to you, relevant, reviewed routinely and responsive to when things change.
- When you are using our services, you will have a named worker who will take lead responsibility for your care.
- Measuring what matters you through Patient Reported Outcome Measures (Health questionnaires). We will use them to guide a conversation between you and your health professional about your health and well-being to inform your care and support plan. Please click here for more information on Patient Reported Outcome Measures.
- We will use your feedback on the care and treatment you receive, to guide us on how we can make improvements and tailor services better for everyone. Your experience helps shape the quality of care provided.
- Strengthening our training and guidance for staff including personalised care, Safety Assessments, Formulation (Formulation is an approach we use in Mental Health where we work with the person to understand their mental health needs following an assessment to support the development of a care and support plan) and Care Management. This will make us more responsive to your needs and increases safety for yourself, your family and loved ones, staff and the public.
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