How Should Health Policy Respond To The Growing Challenge Of Multimorbidity?: We need patient-centred care, with more emphasis on generalist rather than specialist care and better integration between general practice, hospitals and social care: (Policy Report 39)

University of Bristol, Policy Bristol, October 2018

The number of people with multiple long-term conditions, known as multimorbidity, is rising internationally, putting increased pressure on health care systems, including the NHS. Researchers from the 3D Study – the largest ever trial of a person-centred approach to caring for patients with multimorbidity in primary care. This report discusses the challenges facing general practice and how the health care system needs to respond.  People with multimorbidity – one or more long-term health conditions, such as diabetes, heart disease and dementia – are more likely to experience poor quality of life and poor physical and mental health. They use both general practice and hospital services far more often than the general population. However, healthcare systems around the world are largely designed to manage individual diseases or episodes of illness rather than patients with complex multiple health care needs.

Click here to view the full report.

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ODESSA: Optimising care delivery models to support ageing-in-place

University of Sheffield, March 2018

This report brings together international research findings on current long-term care delivery models for older people and assesses the key factors that allow them to live independently for longer.  It reports on a  three-year project investigated new and innovative ways of adapting a person’s home so that they can live independently for longer and avoid going into residential care as well as making it easier for them to access public services such as health and social services.

Click here to view the full report.

Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial

PLOS Medicine, February 6, 2018

This study aimed to evaluate the efficacy of a person-centred care and psychosocial intervention incorporating an antipsychotic review, WHELD, on QoL, agitation, and antipsychotic use in people with dementia living in nursing homes, and to determine its cost.

Click here to view the paper.

Growing innovative models of health, care and support for adults: Future of care Number 6

Social Care Institute for Excellence, January 2018

Briefing that identifies that innovation is needed more than ever as challenges grow. Innovation does not only mean technological breakthroughs or large restructures. New and better ways of delivering
relationship-based care are needed, and already exist, but are inconsistently implemented or poorly scaled.  It identifies the following requirements for innovation to flourish:

  • a shared ambition to ‘embed person- and community-centred ways of working across the system, using the best available tools and evidence’
  • co-production: planning with the people who have the greatest stake in our services from the beginning
  • a new model of leadership which is collaborative and convening
  • investment and commissioning approaches which transfer resources from low quality, low outcomes into approaches which work effectively
  • effective outcomes monitoring and use of data to drive change
  • a willingness to learn from experience.

Click here to view the full report.

The 2,000 days project: Practical ideas for reforming health and care

Healthcare at Home, November 2017

An Industry Coalition Group of clinicians, senior leaders in hospitals, primary care, the central bodies, charities and the private sector met earlier this year to take on the challenge of re-energising the NHS approach to handling rising demand, hospital debt, slow technological innovation and growing public expectations.  This report from Healthcare at Home identifies many examples of new care provision,  but also that current reform struggles to deliver the change needed, and integrated care is not happening on the scale required.  This report identifies seven key principles for reform:

  • Person-centred care must be at the heart of every NHS decision and action.
  • Person-centred care means taking every opportunity to maximise our ability to manage our own health. The NHS needs to focus on what we can do, not just try to fix what we can’t.
  • NHS leaders need to see joy and fulfilment in the workplace as key to delivering person-centred care and nurturing innovation.
  • Care services must stop being health and safety police, and take a more balanced approach to risk, to empower staff and let people live the lives they want.
  • Clinicians and managers need to be taught how to think digitally so they develop their own solutions using consumer technology. Online and face-to-face services should be integrated.
  • Where possible there should be direct access, including digital access, to community services.
  • The costs, benefits and practicalities of developing care at home need to be understood and debated.

Click here to view the full report.

Making sense of social prescribing

Social Prescribing Network, September 2017

This document provides an overview of various aspects of social prescribing such as: What is social prescribing; why do social prescribing; what do different models look like; what makes a good link worker; what makes a good referral; governance and risk management; evaluation.

Click here to view the document.

Making personal budgets dementia friendly: a guide for local authorities

Alzheimer’s Society, November 2016

Alzheimer’s Society has produced a personal budgets guide of easy and cost-effective actions councils can take to improve the personal budgets process for people with dementia and their carers. The aim of this is to help local authorities deliver person-centred care.

Click here to view the guide.