Looking for practical pointers on person-centred care? Look no further, says Angela Coulter
In this blog, Angela Coulter, Director of Global Initiatives at the Foundation for Informed Medical Decision Making, Boston, and Senior Research Scientist at the Department of Public Health, University of Oxford, identifies 5 'best buys' for health services looking to implement person-centred care, with a short summary of the evidence and a practical pointer for each.
Her 'best buys' include: communication skills training makes a real difference; information is therapeutic; patient decision aids lead to more appropriate care; integrated self-management support works best; and computer-based programmes can support prevention.
The blog draws on a review of 779 systematic reviews of the evidence for person-centred care undertaken by National Voices. Practical pointers Angela offers for achieving person-centred care include:
Communication skills training makes a real difference: All NHS staff should be offered communication skills training on an ongoing basis, including coaching skills and motivational interviewing to enhance understanding about how to engage patients and prevent health problems.
Information is therapeutic: All information providers, including NHS trusts, should seek certification against the Information Standard, NHS England’s ‘kitemark’ for high-quality information.
Patient decision aids lead to more appropriate care: Commissioners should map decision pathways and ensure that decision aids are available to patients at key decision points. Providers should ensure that all staff receive training in how to share decisions with patients.
Integrated self-management support works best Clinicians must adopt different consultation styles and commissioners must be willing to look across service boundaries and beyond formal services into the community to find appropriate help and support. The House of Care provides a useful framework for implementing better support for people with long-term conditions.
Computer-based programmes can aid prevention: Commissioners should develop strategies for effective use of information technology in support of person-centred care, with a particular emphasis on targeting those most at risk.