Personalised care and support planning handbook: The journey to person-centred care

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The Personalised care and support planning handbook is aimed at commissioners and care practitioners(i.e. not just health and care professionals, but also othe rnon-clinical and volunteer roles), and is intended to set out what personalised care and support planning is, and how to deliver it. 

It shows how personalised care and support planning fits within the wider context of person-centred care and can be used as a system enabler to help provide more proactive and co-ordinated care for people with long-term conditions and better support for self-management.  It consists of four components: an Executive Summary; Core information on personalised care and support planning; Information for commissioners; and Practical delivery guidance

Executive summary 

The Executive Summary briefly defines personalised care and support planning, sets out the evidence for its benefits, describes the role of commissioners, highlights the four main steps of the care and support planning process, and describes how these can be systematically implemented using the House of Care model.

Core Information

The Core Information provides a detailed explanation of what care and support planning is.  It looks at the evidence and rationale for why care services should deliver personalised care and support planning. It looks at the wider policy context and movements towards person-centred care and how personalised care and support planning can act as an enabler to delivering more personalised approaches that recognise the assets of patients, carers and communities, providing a more proactive approach to care.  It provides links to further information and references.

Information for Commissioners

The Information for Commissioners argues that commissioners have a key role to play in supporting the delivery of person-centred care and sets out: the commissioners’ role in making personalised care and support planning happen; the business case; and approaches commissioners might take to embed personalised care and support planning across a population.

Practical Delivery Guidance

The Practical Delivery Guidance provides information and guidance to support teams and services to design and implement local models for care and support planning.  It looks at the practical steps and the processes for delivering personalised care and support planning based on the four steps identified in the National Voices Guide to Care and support planning: prepare, discuss, document and review.  It considers these against the framework of the House of Care (see Part 1) i.e.: patients and carers are supported to be active and engaged in discussions about their care and support;  professionals arecommitted to working in partnership with patients and carers, and also with other professionals across health and social care; systems are in place to organise resources effectively; and there is a whole-system approach to commissioning health and care services.

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