Person-centred care: slides for a presentation to health and care leaders in Manchester on 12 March 2014 on implementation of the "Better Care Fund" for more integrated care. How to keep the focus on people.
Text of National Voices on person centred care
1. Patient power and voice in the new health and social care world Health and care as if people matter Jeremy Taylor, 12 March 2014
2. What matters to us? Access Information Communication Involvement Family and friends Privacy, confidentiality and dignity Support for self-care and independence Personalised service, coordination and continuity Practical support Emotional support 3. What matters to us? I want to see a doctor I want a service I can trust I want to know whats going on I want to be treated as a person I want a say I dont want to be passed from pillar to post I dont want to repeat my story every time I want to be in control I want to be looked after Im in pain. Im exhausted Im not happy about the care my Mum is getting 4. Living with ..... People as managers 5. Out-of- Hours Doctors GP District Nurses Social Worker Malcolm & Barbara Consultant Continence Adviser Speech & Language Adviser Dietician Community Dentist Occupational Therapist Equipment Service Physiotherapist Alternating Mattress technician Wheelchair Service Oxygen serviceDirect Payments Team; Rowan Org. Alzheimers Soc outreach worker Care team 2 live-in carers (alternating weekly) Replacement carer [Some night nursing Health] Emergency carers & Barbara The Web of Care (Last 7 yrs) Dementia Advisory Nurse? 6. The house of care 7. Person centred coordinated care I can plan my care with people who work together to understand me and my carer(s), allow me control, and bring together services to achieve the outcomes important to me. Informatio n Informatio n My goals/outcomes My goals/outcomes CommunicationCommunication Decision makingDecision making Care planningCare planning TransitionsTransitions 8 8. Goal setting and action planning Care and support planning Year of Care 9. More than medicine Self-management Family Friends Neighbours Peer-supporters Befrienders Advocates Community health champions Patient and lay leaders Voluntary sector organisations 10. You cant do this alone! The world is too complex* The duties too onerous The money insufficient The health and care workforce too stretched The needs go beyond narrowly clinical Statutory agencies cant do this alone! * Many to Many: how the relational state will transform public services, Muir and Parker, IPPR, Feb 2014 11. Changing models of care From: To: Patients as recipients People as partners and managers of their health Primarily medical Increasingly social Professionals designing services Co-design of services Mobilising doctors, nurses and drugs Mobilising citizens and communities Treatment plans Participative care and support planning Clinical outcomes Quality of life outcomes Hospital focus Out of hospital focus 12. How much do you want let go? 13. A care system in which people matter We have rights We define success We are partners We are managers We are leaders We are all part of the workforce No decisions about us without us 14. Thanks for listening www.nationalvoices.org.uk Follow us on Twitter @NVTweeting @JeremyTaylorNV