Newsletters

Providing high-quality, person-centred care for patients with long term conditions and achieving high quality and outcomes framework (QOF) points – are these two aspirations mutually exclusive or is it possible that using the Year of Care approach to personalised care and support planning (PSCP) will help practices to get those ever more elusive QOF points?

In this edition of the House Journal, we focus on three key updates – patient ‘preparation’ within the Year of Care approach to personalised care and support planning (PCSP) including new resources that are available, a new patient area on the Year of Care website and our redeveloped password protected website secure area which includes a wide range of materials to support the implementation of PCSP.

In this edition of The House Journal we share the key learning and reflections from the presentations, groupwork and workshops that we delivered at our interactive Network Event for the Year of Care Community of Practice in October 2024.

In this edition we focus on our proactive care project which was supported by our local ICS. It sought to use the Year of Care approach to personalised care and support planning (PCSP) as a framework to deliver proactive care to people living with complexity including multiple long-term conditions (LTCs), frailty and those at risk of using unplanned care. The approach was delivered by integrated neighbourhood teams working into primary care networks and general practice.

In this edition of the House Journal we focus on some recent work the Year of Care team have been doing to look at how personalised care and support planning (PCSP) and shared decision making (SDM) can be applied to new settings and contexts. This includes international work in Singapore, and the transfer of PCSP into specialist long-COVID clinics and community anticipatory care teams in the UK.

In this special edition we focus on the work by South Tyneside to implement personalised care and support planning across all GP practices across the former CCG area. We would like to thank the team at South Tyneside for their contributions to this newsletter and congratulate them on a successful implementation project.

In this edition of The House Journal, we explore shared decision making (SDM) as a specific standalone activity and consider its fit within a personalised care and support planning approach (PCSP).

This special edition focuses on the progress to date of Scotland’s House of Care programme and what has been achieved in terms of personalised care and support planning.

Our thanks to all of the contributors to this newsletter who have worked with us to share their learning around the key principles that support the successful implementation of personalised care and support planning.

This edition looks at ‘moving on’ with personalised care and support planning and focusing on ‘people not conditions’; offering a single process and conversation for people who have a single condition, but also those who live with multiple long-term conditions.

This issue focuses on the inclusion of frailty topics within personalised care and support planning and gives details of two programmes of work that enabled people to identify falls or dementia as a concern. It then gives some news on Personalised Care Institute accreditation of our training as well as guidance on shared decision making and SNOMED codes.