Personalised care means people have choice and control over the way their care is planned and delivered, based on ‘what matters’ to them and their individual strengths and needs. This happens within a system that supports people to stay well for longer and makes the most of the expertise, capacity and potential of people, families and communities in delivering better outcomes and experiences when unwell.
The Comprehensive Personalised Care Model sets out how to achieve this, through six, evidence-based standard components:
- shared decision making
- personalised care and support planning
- enabling choice, including legal rights to choice
- social prescribing and community-based support
- patient activation and supported self-management
- personal health budgets and integrated personal budgets.
NHS England seeks to enhance personalised end of life care by using the Comprehensive Personalised Care Model as a primary lens through which to view the improvements needed to support increased choice and control at the end of life, and better experience of care. This includes: earlier identification of people who are likely to die within the next 12 months; better conversations for people to identify their needs and preferences, and to share this information with those involved in their care; and integrated services which wrap around people.
One example of this is that personal health budgets in end of life care were trialled in five areas across the country, giving people more choice about who provides their care, where their care is received, and their preferred place of death.