The six components of Personalised Care and how to embed them in your professional practice
Within the Comprehensive Model, there are six key components, which are central to embedding Personalised Care.
1) Shared decision-making - equal partnerships and better conversations about what matters to patients, in the context of their whole life.
2) Enabling choice – giving people choice over the treatment and the services they can access.
3) Social prescribing – connecting people to their communities and non-medical support.
4) Support for self-management – health coaching, self-management education and peer support.
5) Personalised care and support plans – the opportunity for people with long term conditions to co-create their own plan.
6) Personal health budgets – giving people with the most complex needs direct control over their care.
Find out more:
Click on the links below for more information on each component.
What is it?
People are supported to understand their care, treatment, and the support options available - and the risks, benefits, and consequences of those options - so they can make an informed decision about their preferred course of action. Shared decision making is appropriate when someone needs to make a decision about treatment when there is more than one option available (including no-treatment options).
It might sound easy, but having a productive, personalised conversation with a patient – one in which you both understand the real situation, and what can and is being done about it – is a skill.
Staff in patient-facing roles can be trained in SDM, and patients and people prepared to have this shared conversation with health and care professionals.
How do I embed Shared Decision Making in my professional practice and my organisation?
What is it?
In many cases there is a legal right to choose where you have your NHS treatment. NHS England wants everyone treated by the NHS to be able to say:
- I have discussed with my GP or healthcare professional the different options available to me.
- I was given the opportunity to choose a suitable alternative provider.
- Information to help me make my decisions was available and accessible for me.
- I was given sufficient time to consider what was right for me.
Read more about the NHS Choice Framework.
How do I embed Enabling Choice in my professional practice and my organisation?
Social prescribing enables local health and care services to refer people to a link worker, who will connect them to community-based support. The support proposed should build on what matters to the person as identified through their shared decision making conversation.
Social prescribers provide an important bridge between services, the local community and voluntary sector, individuals, and mutual aid groups. They spend time talking to people and finding out what matters to them and how they want to interact with and participate in their local communities.
NHS England’s target is for more than 1,000 social prescribing link workers to be in place by March 2024, and more than 900,000 people referred to social prescribing.
How do I embed Social Prescribing in my professional practice and my organisation?
What is it?
Helping people with long term conditions to increase their knowledge, skills and confidence to better manage their health and wellbeing. Through a process known as ‘patient activation’, increasing the knowledge, skills, and confidence a person has in managing their own health and care by putting in place interventions such as health coaching, self-management education and peer support.
How do I embed Supported Self-Management in my professional practice and my organisation?
What is it?
Personalised care and support planning is the process that enables someone with care and support needs to have a structured conversation about what matters to them, what they can do to manage their health, and what support they need from formal and informal services.
The process results in a plan which sets out their health and wellbeing goals, and how they will be achieved. The ambition is for everyone with a long-term condition to have the opportunity to co-create their own plan. The plan should also be the facility through which people tell their story once, and once only, instead of repeating it many times to different health and care professionals.
By March 2024, 750,000 people across the country are expected to have Personalised Care and Support Plans in place to manage their long-term health conditions.
How do I embed Personalised Care and Support Planning in my professional practice and my organisation?
What is it?
An amount of money to support a person’s identified health and wellbeing needs, planned and agreed between them and their local ICS. This isn’t new money, but a different way of spending health funding to meet the needs of an individual. Personal health budgets give people with long term conditions and disabilities more choice and control over the money spent on them and the support they receive.
NHS England’s target is for 200,000 people to have personal health budgets by March 2024, enabling them to control their own care.
How do I embed PHBs in my professional practice and my organisation?