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Saturday, January 13, 2018

Person-centred care [PCC]: is it really happening? c/o National Voices

https://www.nationalvoices.org.uk/publications/our-publications/person-centred-care-2017

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

PCC =
what’s important to the individual,
is co-ordinated around their needs
and involves them in decisions.

"To be person-centred, that care needs to work together to wrap around all the needs of the individual in a holistic way. Sadly, our report found that neither the NHS nor adult social care can demonstrate co-ordination of care, despite ‘integrated care’ being a key goal of all national and local leaders over the past five to 10 years.
The way health and care services work must change to reflect the needs of the population. It would be a start to recognise that co-ordination of care is an important factor, and that we need to be measuring whether it is happening."
(many) Definitions = 5 key indicators of pcc: 
good information,
good communication,
involvement in decisions, 
care co-ordination
 and care planning.

Service user reported data from 19 nat. surveys
NHS:  in primary care, only 39% of patients said their GP was ‘very good’ at involving them in decisions. What’s more, personalised care planning doesn’t really happen. Only 3% of GP patients with one or more long-term conditions reported having a written care plan, suggesting that opportunities to deliver personalised care in the NHS are being missed.

"Personalisation of care is more advanced in adult social care than in the NHS, with 89% of adult social care users reporting that the care and support they received helped them to have control over their daily life.

Similarly, 63% of people using a social care personal budget said that this had improved their ability to make everyday decisions.
Participation and control of decisions is well-established in adult social care, with just over 90% of those using community adult social care saying they were involved in decisions about their care and support needs."

(See original post - report for important additions)


 20+ years policy
 England
Care Act 2014

National Voices
coalition of health and care charities  report
‘Person-centred care in 2017'

No National data on this...

"It is clear from our report that a strategic overhaul of how care is measured is needed. Rather than single-service, single-setting, activity measures, more credence needs to be given to the experiences of the people who rely on services. Only then can we help local systems succeed in offering personalised, integrated and holistic care.
Whilst there have been some advances in the delivery of person-centred care, there is still a long way to go before the policy rhetoric matches the reality experienced by people."



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