Dr Jagan John, Proactive Care Clinical Lead, Healthy London Partnership reflects on the Personalised Care Workshop that he participated in this week.
On Wednesday 7th August, we welcomed almost 80 attendees involved in personalised care from across London to the ‘London Living Room’ at City Hall to discuss plans for how we will respond to the commitments in the NHS Long Term Plan (LTP) to embed person-centred approaches in the capital’s health and care system.
Personalised care will become ‘business as usual’ for 2.5 million people across the health and care system by 2024, giving them the same choice and control over their mental and physical health that they have come to expect in every other aspect of their life, and is one of the five major, practical changes to the NHS that will take place over the next five years.
Some of the key national commitments and actions by 2023/24 are:
- Over 1,000 trained social prescribing link workers will be in place by 2020/21 rising further by 2023/24, with the aim that over 900,000 people are able to be referred to social prescribing schemes by then. Social prescribing link workers connect people to wider community support which that can help improve their health and well-being and to engage and deal with some of their underlying causes of ill health.
- Expand supported self-management initiatives (e.g health coaching, self-management education and peer support) to increase the knowledge, confidence and skills for people with long term conditions to self-manage.
- 750,000 people have a personalised care and support plan to manage their long term health conditions.
- 200,000 people will have a personal health budget so they can control their own care, improve their health experiences and experience better value for money services over a “one size fits all” approach.
- Develop the skills and behaviours of 75,000 clinicians and professionals through practical support to use personalised care approaches in their day-to-day practice.
London has been building momentum around social prescribing for many years, and it is a key pledge of the Mayor’s Health Inequalities Strategy. Healthy London Partnership (HLP) has been working with partners within the NHS and the Greater London Authority (GLA) to influence policy and build the case for investment. We are now entering an exciting new phase with link workers joining the new primary care networks and for Voluntary Community and Social Enterprise (VCSE) organisations to be a joint partner in our efforts to support people to get the right help at the right time, based on what matters to them, and to connect them with support within their local communities.
We will continue to support the spread of social prescribing in London, particularly to areas of London where this is a new service, and there is regional facilitation and support provided by HLP and the Bromley-By-Bow Centre in Tower Hamlets, one of the trailblazer health and wellbeing community hubs.
At the event, we heard about the different plans of the five Sustainability and Transformation Partnerships (STP) footprints and Clinical Commissioning Groups (CCGs) to roll out the universal personalised care model by bringing together cross-sector groups working on the different components. We learned about the personalisation activity occurring within a number of clinical areas – for example, diabetes, maternity, dementia, cancer and end of life care at both the regional and STP levels, and also discussed the importance of co-production and the involvement of people who use such services, their families and carers.
There is already innovation and best practice happening in London on all the elements of personalised care to incorporate greater control and choice for patients over their health and wellbeing, such as self-management of long-term conditions, Personal Health Budgets (PHBs) and Personalised Care and Support Plans (PCSPs) . However, there is more that can be done to develop a coherent, consistent ‘once for London’ approach to personalised care, particularly around enablers such as workforce, digital systems and software, and how we can support the VCSE in the face of funding limitations and challenges. We also want to ensure local areas are able to tailor their offers to meet the needs of local residents and target the most disadvantaged and isolated groups.
As Chair of the newly formed Personalisation Advisory Group, I will work with my team at HLP and stakeholders across London to share insights from around the country, link closely with the NHSE national personalisation team, and make the case for more funding, so we can effectively build the regional infrastructure and reap the benefits that personalised care can bring to patients and the wider health care system.
About the author
Further reading and resources:
- NHSE website – https://www.england.nhs.uk/personalisedcare/
- Social Prescribing Reference Guide for PCNs. It should be read in conjunction with the technical annex that accompanies the guide. The NHSE Social Prescribing Summary Guide outlines what good social prescribing looks like for people, communities and systems, and includes a link worker job description, a check-list for commissioners, and a Common Outcomes Framework.
- Self-management and patient activation: https://www.england.nhs.uk/ourwork/patient-participation/self-care/patient-activation/
- PHBs: https://www.england.nhs.uk/personal-health-budgets/
- RCGP Person-Centred Care Toolkit – https://www.rcgp.org.uk/clinical-and-research/resources/toolkits/person-centred-care-toolkit.aspx
- NHSE Social Prescribing Collaboration Platform (inc London specific region). Please email firstname.lastname@example.org to join the membership list
- Social Prescribing and Self Care Wikipedia – https://healthylondon.org/Social_Prescribing_and_Self_Care_Wiki
- London Social Prescribing Regional Facilitators contact details: Hopewell@bbbc.org.uk and Suzi.Griffiths@nhs.net
- Twitter: @BBB_Insights and @SP_wiki