Barriers and facilitators to the implementation of person-centred care in different healthcare contexts

Background

Systems, not structures: Changing Health & Social Care

In his speech of 4 November 2015, the then Minister for Health, Simon Hamilton MLA, announced that in response to recommendation 1 of The Right Time, The Right Place report by Sir Liam Donaldson, he would appoint an expert, clinically led panel to consider and lead an informed debate on the best configuration of Health and Social Care services in NI.

The Panel was appointed in January 2016 and comprised local and international members.

PANEL MEMBERS

Professor Rafael Bengoa (Chair)
Dr Alan Stout
Bronagh Scott
Mairead McAlinden
Mr Mark A Taylor

EXPERT ADVICE ON SOCIAL CARE WAS PROVIDED BY:

Sean ...

Improving Care for People with Long Term Conditions

This report, published by the Royal Pharmaceutical Society in Scotland, argues that pharmacist led care of people with long term conditions could deliver better results and be more cost effective. It focuses on the role of the pharmacist as part of a multidisciplinary approach to tackling the challenges facing the NHS in providing the highest quality care and support for people with long term conditions.

Priorities for the NHS and social care in 2017

Primary care managers´perceptions of their capability in providing care planning with complex needs

The aim of this study is to investigate primary care managers´perceptions of their capability in providing care planning to patients with complex needs. Care planning is defined as a process where the patient, family and health professionals engage in dialogue about the patient´s care needs and plan care interventions together. 

Integrated Care: theory to practice

"Integrated care" is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team management is frequently the primary focus of integrated care when implemented internationally. This study examine the practical application of integrated care in the NHS in England to exemplify the prevalence of the case management focus. It looks at the evidence for effectiveness of multi-disciplinary team case management, for the focus on high-risk groups and for integrated care more generally. They suggest realistic expectations of what integration of care alone can achieve and additional research ...

Economic evaluation of integrated new technologies for health and social care: Suggestions for policy makers, users and evaluators

With an ageing population there is a move towards the use of assisted living technologies (ALTs) to provide social care and health care services, and to improve service processes. These technologies are at the forefront of the integration of health and social care. However, economic evaluatios of ALTs, and indeed economic evaluations of any interventions providing both health benefits and benefits beyond health are complex. This paper considers the challenges faced by evaluators and presents a method of economic evaluation for use with interventions where traditional methods may not be suitable for informing funders and decision makers. They propose a ...

Achieving Health Equity: A Guide for Health Care Organizations

This white paper provides guidance on how health care organizations can reduce health disparities related to racial or ethnic group, religion; socioeconomics status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity, geographic location; or other characteristics historically linked to discrimination or exclusion. 

It includes: 

-A framework, with five key components, for health care organizations to improve health equity in the communities they serve

- Guideance for measuring health equity

- A case study of one health care organization that has strategically integrated work to improve health equity throughout their system

- A self- assessment tool for health ...

Person-centred care made simple

There are growing numbers of older people and people living with long-term conditions and disabilities. At the same time, health and social care budgets are under increasing pressure. If the high quality care that affords people the best possible quality of life needs to be provide, it needs to rethink the relationship between people and the services that provide their care. 

This guide seeks to provide a quick overview of person centred care. It is wirtten for anyone interested in health and health care, including health care professionals and those who use the NHS.

Integrated care for patients and populations: Improving outcomes by working together

This report examines:

- The case for integrated care

- What current barriers to integrated care need to be overcome and how

- What the Department of Health can do to provide a supporting framework to enable integrated care to flourish

- Options for a practical and technical support to those implementing integrated care, including approaches to evaluatin its impact 

The report asserts that developing integrated care should assume the same priority over the nect decade as reducing waiting times had during the last. The report makes a constructive contribution to the debate about integrated care and will be of interest to policy-makers, health ...