Realising the Value

- Supporting a person-centred health and care system

Background “One of the great strengths of this country is that we have an NHS that

– at its best – is ‘of the people, by the people and for the people’.

Yet sometimes the health service has been prone to operating a

‘factory’ model of care and repair, with limited engagement with the

wider community, a short-sighted approach to partnerships, and

underdeveloped advocacy and action on the broader influencers of

health and wellbeing.

As a result we have not fully harnessed the renewable energy

represented by patients and communities”

Background People manage their health and care on their own

or with support of their family and carers ‘99%’ of the

time. Having the knowledge, skills and confidence

to do so is key – and can have a positive impact on

health and social outcomes, personal experience and

appropriate use of services.

1%

99%

There is no single agreed definition of person- and community centred care: it

is used to refer to many different

principles and activities

Background

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The bigger picture

Nesta and The Health Foundation jointly lead a consortium which

brings together a wide-ranging combination of expertise and experience.

The programme is funded by NHS England who are working closely with the consortium to drive and shape the shared agenda

throughout and beyond the programme.

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Consortium partners

Aim The FYFV signals the need for significant investment in evidence-based

approaches such as group based self-management education courses for

people with specific conditions, as well as encouraging independent peer-

to-peer communities to emerge.

Realising the Value aims to support this shift in a number of ways, in order

to enable:

• Improved support for self-management

• Much greater influence of voluntary, community and peers

• Patients as partners in decision-making

Key objectives

• Demonstrating the active role that individuals and

communities can play

• Identifying and modelling the impact of key evidence-based approaches and developing tools to support implementation.

• Supporting culture change, by developing a range of cutting edge behaviour change approaches to impact on the relationships between professionals and people.

• Aligning the system by identifying relevant system change levers and drivers

• Providing an approach to affect change locally which has been developed and refined across a number of healthcare economies.

Broad definition of value Capturing and communicating the value of individuals

and communities taking an active role is a key

component of the work.

Individual

Mental and physical health and wellbeing

Community

Wider social value

System

NHS sustainabilit

y

What’s in scope for the work? • We’re interested in

approaches that

are asset based

and enable co-production with

people and

communities.

What’s in scope for the work?

Timelines

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Assessing the potential for impact (Mar – Nov 15) Evidence reviews Interviews Consultations Value discussion paper ‘Making the Case’ publication Processes to identify approaches’ and sites

Co-produce resources for impact (Nov 15 – June 16) Working with sites, networks of interest and wider stakeholders via events, support, webinars etc. to develop: • Commissioning tool / economic

model • Guides and design principles –

change on the ground • System levers and barriers –

recommendations

Bringing the learning together (September 16) Stakeholder event Final set of resources and recommendations that can impact real change at scale Final publication

Programme outputs

We will develop programme outputs in ‘beta’ form and iterate these with

sites and wider networks throughout the programme. Final programme

outputs (Summer 2016) will include:

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Tools to support implementation of key approaches e.g. commissioning tool / economic model A series of innovative tools/training packages to support culture change An overview and assessment of the levers, barriers and enablers of person-and community centred care – and a set of recommendations for the future

Getting involved

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Local partners - call opening end of this week Expertise in one of our focus areas Will lead wider networks of interest Opportunities to influence tools and recommendations, national profile

Networks of interest Organisations with an interest in one of our focus areas Opportunities to participate in webinars and events Shaping tools and recommendations

Wider stakeholders Events Mailing list Open ‘consultations’ Discussion paper on value published this week Call for evidence opening end of this week

Questions or comments?

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The levers and drivers national bodies put in place can have a

significant impact – either to support change to happen locally or to hinder/create barriers to change.

By understanding the enablers and barriers to local change faced by commissioners and providers; combined with what we know

from the evidence on what works; as well as our expertise in this area,

we can then recommend the most impactful approaches for national

bodies to take to help deliver the Five Year Forward View vision of truly person centred care delivered at scale.

System levers and drivers

Working in pairs:

Agree a key barrier to empowering patients and engaging communities

• Why does the obstacle exist?

• Who is responsible for the obstacle?

Agree a ‘key ingredient’ that would support empowering

patients and engaging communities

• Who is responsible for making this happen?

Mini exercise

info@realisingthevalue.org.uk www.realisingthevalue.org.uk