TP10 What next for personalisation Zoe Porter
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Integrated Personal Commissioning The NHS getting serious about personalisation
30th October 2014
NHS Five Year Forward View: • “we have not fully harnessed the renewable energy represented by patients and communities” • “As the patients’ organisation National Voices puts it: personalised care will only happen when statutory services recognise that patients’ own life goals are what count; that services need to support families, carers and communities; that promoting wellbeing and independence need to be the key outcomes of care; and that patients, their families and carers are often ‘experts by experience’.” • As well as care plans and voluntary sector advocacy and support, IPC will provide an integrated, “year of care” budget that will be managed by people themselves or on their behalf by councils, the NHS or a voluntary organisation.
Why? • People with complex needs and their carers have better quality of life and can achieve the outcomes that are important to them and their families • Prevention of crises in peoples’ lives that lead to unplanned hospital and institutional care • Better integration and quality of care
Principles • Keep focused on what matters to people and families • Co-production locally and nationally • Build partnerships • Local: NHS, local authority and voluntary sector playing a key role, plus providers, local people and families • National: NHS England. LGA, ADASS and Think Local Act Personal, plus strong involvement of providers, voluntary sector, and people with direct experience • Be flexible and creative – but within a common framework for both care and financial models
Person-centred care – common framework •
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Person-centred care and support planning: Access to support to enable people to develop a plan which covers all aspects of life, not just health and care needs. Focus on what matters to person and their family Personal health and social care budgets : People can have control over part of their budget, including the option of a direct payment. Information, support, advice and advocacy: Access to good information support, advice and advocacy from a range of sources.. No one should be excluded from the opportunity to take part because of their background. Peer support: Making the most of peer support, developing social capital, supporting carers and investing in the local voluntary sector and community groups. “More than Medicine”: Recognition that health is so much more than medical treatment, social prescribing, developing social capital and investing in the local voluntary sector and community groups
IPC Finance Model Why do we need a new finance model for IPC? Bring together costs of primary, mental, community, social and acute care for individuals The definition of what is in and out of a service scope for IPC is (at this stage) for local definition) In the selection of scope work will need to be done to support the reasonableness of an IPC programme to drive the desired benefits whilst ensuring that this definition does not leave undue or disproportionate operational or financial risk in other parts of the system. Contract on the basis of a price per person (capitation), based on level of need, e.g. • £X a year for someone 65-75 with 1 LTC; • £5X a year for someone who is over 75 with dementia and 2 other LTCs.
Next steps • Applications from across Health, Social Care and Voluntary sector to be in by 7th November, need to be rooted in co-production • Approximately 10 demonstrator sites to work over the next 3 years to implement and evaluate the model • A wider programme to work with all who want to, create learning networks, and disseminate helpful learning