fewer GP appointments when social prescribing is used well
fewer emergency admissions involving primary care with personalised care interventions
saving on the direct cost of care home packages from personal health budgets
Personalised care means people have choice and control over the way their care is planned and delivered, based on ‘what matters’ to them and their individual strengths, needs and preferences.
This happens within a system that supports people to stay well for longer and makes the most of the expertise, capacity and potential of individuals, families, and communities in delivering better health and wellbeing outcomes and experiences.
We know that when healthcare is personalised – built around the person and their family – it works better. It’s not just more efficient, it’s more effective too: with more diseases prevented and better medical interventions.
Personalised care is made up of six areas, that we are shaping and providing in partnership with the voluntary and community sector.
- Shared decision making
- Personalised care and support planning
- Enabling choice, including legal rights to choice
- Social prescribing and community-based support
- Supported self-management
- Personal health budgets and integrated personal budgets
What is personalisation?
Personalisation is rooted in the belief that people want a life not a service. Personalised care is an overarching approach which applies across all e.g. local councils, voluntary and community organisations and the whole of health and social care.
It’s about focusing on what matters to people and involving them as equal partners in their own care and support.
Personalisation is everyone's business
Personalised care in north east London will only work if we can work together across the primary care network and beyond.
We need to support the ability to fully realise the benefits of personalised care by supporting and growing networks that include social prescribers, care coordinators, nurses, etc.
Personalisation is rooted in the belief that people want a life not a service. It's an overarching approach which applies across local councils, voluntary and community organisations and the NHS. As we work to bring health and social care services closer together, its more important than ever to make personalised care a reality for everyone.
Personalised care is about focusing on what matters to people and involving them as equal partners in their own care and support.
Shared decision making is a joint process in which a healthcare professional works together with a person to reach a decision about care. It involves choosing tests and treatments based both on evidence and on the person’s individual preferences, beliefs and values.
It makes sure the person understands the risks, benefits and possible consequences of different options through discussion and information sharing.
Personalised care and support planning is focused on finding out what is most important for an individual to have a good life. It means health and care service providers finding out everything a person needs to improve their health and wellbeing, and then having better conversations that build on their assets and resources. We know that factors like housing, employment or literacy levels, affect people experiencing physical and/or mental health problems. Dealing with only one aspect of a persons needs does not give them all of the information and support they need to live a good life.
In mental health settings the care programme approach (CPA) is used with people with enduring mental health issues to ensure that long term care and support is planned around their wishes. CPAs can be enhanced and improved through personalised care and support planning. It will include conversations
Enabling people to make informed choices about their health and wellbeing includes helping individuals understand what is happening to them and what help and support is available for them.
Evidence from Health Education England, showed that up to 61 per cent of the working age population in England has difficulty understanding health and wellbeing information. This in turn affects their ability to manage long term conditions, stick to their medication and make informed decisions about their mental and physical health.
Social prescribing – sometimes referred to as community referral – is a means of enabling GPs, nurses and other health and care professionals to refer people to a range of local, non-clinical services mainly through link workers and others including care coordinators and health and wellbeing coaches. The Bromley-by-Bow Centre in Tower Hamlets was an early leader of community-based social prescribing services that help improve outcomes for local people.
Link workers give people time and focus on what matters to the person as identified through shared decision making or personalised care and support planning. They connect people to community groups and agencies for practical and emotional support. Link workers collaborate with local partners to support community groups to be accessible and sustainable and help people to start new groups.
Supported self-management is part of the NHS Long Term Plan’s commitment to make personalised care available to everyone who wants to live well with an ongoing mental and physical health conditions.
We use the term ‘supported self-management’ to describe the ways that health and care services encourage, support and empower people to manage their ongoing physical and mental health conditions themselves. The 'support' comes from a range of services with teams that included health and wellbeing coaches, care corordinators and both formal and informal peer support.
A well-trained, diverse and responsive personalised care workforce is essential for high-quality self-management support that does not leave people to manage long-terms conditions themselves, but instead gives them the confidence and practical help they need.
A personal health budget is an amount of money to support someone’s health and wellbeing needs. In healthcare it is planned and agreed between the individual or their representative, and the local clinical commissioning group (CCG). It isn’t new money, but a different way of spending health funding to meet the needs of an individual. In social care, a personal budget is money for people who have high care needs.
Personal health budgets are a way of personalising care, based around what matters to people and their individual strengths and needs. They give disabled people and people with long term conditions more choice, control and flexibility over their healthcare.
A personal health budget may be used for a range of things to meet agreed health and wellbeing outcomes. This can include therapies, personal care and equipment. There are some restrictions in how the budget can be spent.