putting patients service users and carers in control Monday 1 December 2014 Session 21 A London Health and Care Integration Collaborative event Simon Galczynski Sandy Marks Clare Henderson ID: 643013
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#bettercareLDN
Self-care and personalisation:
putting
patients, service users and carers in control
Monday 1 December 2014 Session 2.1
A London Health and Care Integration Collaborative eventSlide2
Simon GalczynskiSandy MarksClare Henderson
Developing personalised approachesSlide3
Making it Real – where it began
Islington Personal Budgets Network meeting June 2013Slide4
Workshop to agree what co-production means in Islington
Islington Personal Budgets Network meeting June 2013Slide5
Investing in developing experts by experience
Islington Personal Budgets Network meeting June 2013Slide6
Encouraging others to leadSlide7
Working together as equals
Islington Personal Budgets Network meeting June 2013Slide8
“I” statements adopted across health and social careA joined up approach that recognises differences in approach and culture but common aims. A single approach and policy for ‘personal budgets’ PA register Small working groups agreed a low cost way forwardLinks
for Living websiteExperts by experience input via mystery shoppingCo-produced Easy Read documents MIR Action Plan, MIR Co-production concordat, Benefits information, N19 Pilot Evaluation, Personal Budgets, Direct PaymentsTraining
and learningCo-produced training and e-learning programmes about personal budgets and independent living
Outcomes via co-productionSlide9
Wall of achievementSlide10
Why is person centred care important to us?Slide11
The House of Care – our model for care
planningSlide12
Year Of Care
Co-Creating Health ADP
Supporting Lifestyle Behaviour Change
Coaching for Health
Engaged,
informed patient
HCP committed to partnership working
Organisational processes
Commissioning – The foundation
Self Care Working Group
Navigator Role- Age UK Islington
Self Care CQUIN/ LCS/VBC
Co-production workshops
Measuring outcomes
Personal health budgets
Expert Patients Programme
Co-Creating Health SMP & Reunions
DESMOND/
HeLP
Diabetes
Ethos embedded in some services
Care planning in longer
appts
& prior to MDT teleconference
Enhanced Recovery Pathway
Programmes to support healthcare professionals and patientsSlide13
Measure to assess the impact of initiatives across Islington (as a totality) on patient activationBefore and after measure of patient education/support programmes currently set up and
runningQuestionnaire to be sent to all patients with LTC on practice registers, scored and number recorded on patients EHR.
To identify opportunities for providing tailored interventions based on an individual’s level of activation
Using PAM in IslingtonSlide14
What’s working wellSlide15
ChallengesSlide16
What we have learnt
Takes time
One size doesn’t fit all
Ongoing support – patients and clinicians in new ways
Importance of getting the language right
Care planning documentation
Teams rather than individuals
inter-professional
learning together
Integrate with concurrent initiatives
Senior leadership from clinical community
Need flexibility of delivery modelSlide17
Thank you