Professional Documents
Culture Documents
Personalised Care
Planning
For a better quality of life
For People with Long Term Conditions
KATHRYN PADGETT
(BA, RGN, RM, RHV)
ASSISTANT DIRECTOR OF NURSING
Aim of Presentation
• Policy Context
• What is Personalised Care Planning
• What is a Long Term Condition
• Cost to NHS
• Cost to individual (How does it feel)
• Barnsley’s Vision
• Barnsley’s Programme
local leader of the NHS
Policy Context
• By 2008 we would expect everyone with both long term health and social care needs to have an integrated care plan
if they want one.
• NHS Next Stage Review “High Quality For All” (2009) and Primary and Community Care Strategy re-affirms the offer
of care plans for 15m people with a long term condition
Over the next 2 years, to ensure those living with a long term condition receive a high quality service to manage their
condition, everyone with a long term condition should have a “personalised care plan”
local leader of the NHS
• Personalisation has become key concept for the future of the NHS
• Health and Social Care Systems sharing services around the needs of
individuals not the other way round NHS Plan (2000)
Staggering Stats
1 INCIDENCE
• NHS Crunch
• Population – nearly ¼ million
• Rising Birth Rate
• High Level Disadvantage
• Benefits paid to those unable to work due to illness or
disability nearly twice the national average
local leader of the NHS
I want to understand my
condition better, I didn’t I want information on
listen properly to my I want information on
how to access how to get back into
doctor, I was confused education
benefits
I want access to a
support network I want reliable, trustworthy
information on my condition
generally
Long Term Conditions Programme
local leader of the NHS
Local examples
Care Navigation
TELECARE
CARE
FALLS
NAVIGATION
PREVENTION
TELEHEALTH
PERSONALISED DOL AT
CARE PLANS HOME
PERSONAL B UNIQUE
BUDGETS CARE
local leader of the NHS
Barnsley Initiatives
• 2006/07 – 12 admissions
• 2007-08 – 2 admissions
OUTCOME SHIRLEY
Long Term Conditions Programme local leader of the NHS
IN CONCLUSION
• More proactive approaches, supporting people to self care freeing up more time to spend on
proactive and preventive care
• Improved outcomes for patients/individuals and support for their carers and families
• Supported goals to remain health, independent and sustain or achieve social inclusion – deciding for
self
• A broader range of choice – tailored to what people want, services centred around individuals not
other way around – listening
• Empowered – more confidence to self care
• Knowing more about condition and impact upon life
• Information for choice and control
• Better management of medicines
• More joined up services, less duplication
• More support for carers
• Greater ability to work, less time off sick
• Improved mental health
• Less reliance on services – reductions in emergency admissions
• People as Assets
• Equal Partnership
local leader of the NHS
local leader of the NHS