The evidence for personalised care
The evidence base for personalised care continues to grow, demonstrating a positive impact on people, the system and professionals. Shared decision making between people and clinicians about their tests, treatments and support options leads to more realistic expectations, a better match between individuals’ values and treatment choices, and fewer unnecessary interventions.
Personalised care also has a positive impact on health inequalities, taking account of different backgrounds and preferences, with people from lower socioeconomic groups able to benefit the most from personalised care.
Other highlights from NHS England include:
- In a recent independent survey, 86% of people with a personal health budget said that they had achieved what they wanted with their PHB and 77% of people would recommend PHBs to others
- PHBs in NHS Continuing Healthcare (CHC) have also been shown to achieve an average 17% saving on the direct cost of home care packages. Whilst we do not expect this 17% saving to be repeated in a system operating at scale, it creates a compelling case to change the approach to delivering CHC home care.
- From tracking over 9,000 people with long-term conditions across a health and care system, evidence has shown that people who are more confident and able to manage their health conditions (that is, people with higher levels of activation) have 18% fewer GP contacts and 38% fewer emergency admissions than people with the least confidence.
- A literature review of over 1,000 research studies found peer support can help people feel more knowledgeable, confident and happy, and less isolated and alone.
- A recent systematic review of 73 studies of personal budgets in health and social care across the globe found “positive effects on overall satisfaction, with some evidence also of improvements in quality of life and sense of security. There may also be fewer adverse effects. Despite implementation challenges, recipients generally prefer this intervention to traditional supports”.
- A 2019 internal analysis of NHS Continuing Healthcare data showed that care and support accounts for 94% of PHB costs. 89% is direct personal care, activities of daily living and delegated healthcare tasks and support to achieve wellbeing outcomes. A further 5% is for the remaining care and support elements of the personalised care and support plan, such as physiotherapy, respite and other clinically approved initiatives.
|Good and bad help How purpose and confidence transform lives||Personalised Care||March 2023||Download|
|Individualised funding has positive effects on health and social care outcomes||Personalised Care||March 2023||Download|
|Peer Support: What is it and Does it Work? NESTA||Personalised Care||March 2023||Download|
|The Evidence for Personalised Care||Personalised Care||March 2023||Download|
|Patients' Preferences Matter Kings Fund 2012||Personalised Care||January 1970||Download|
|Derby Hospital Renal Service Optimising use of home dialysis - an SDM approach - case study||Personalised Care||March 2023||Download|
|Frail Older People Given More Choice and Control PHB case study||Personalised Care||January 1970||Download|
|Mrs C's story of multiple health conditions and a personalised care approach||Personalised Care||January 1970||Download|
|Ongoing PHBs to support long term health and care needs case study||Personalised Care||January 1970||Download|
|PHBs supporting mental health recovery case study||Personalised Care||January 1970||Download|
|Reducing hospital emergency admissions case study||Personalised Care||January 1970||Download|
|Supported self management physiotherapist perspective diabetic patient severe pain and reduced mobility||Personalised Care||January 1970||Download|