The NHS Long Term Plan states that personalised care will become ‘business as usual’ across the health and care system. Universal personalised care: Implementing the Comprehensive Model confirms how we will do this by 2023/24. It is the action plan for the rolling out personalised care across England and follows a decade of evidence-based research working with patients and community groups.
This plan lists 21 actions, to be delivered with partners from across national and local government, and organisations from across health, care, voluntary and community-based sectors. These actions built on progress made in areas already delivering the Comprehensive Model for Personalised Care and include introducing quality standards and increased metrics to demonstrate impact; developing workforce skills and working with Royal Colleges to update their curriculums.
The key commitments and actions by 2023/24 are:
- Personalised Care will benefit up to 2.5 million people 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;
- 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.
- 200K 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;
- 750,000 people have a personalised care and support plan to manage their long term health conditions;
- 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
- That we deliver universal implementation of the Comprehensive Model of Personalised Care across England, which fully embeds the six standard components – shared decision making; personalised care and support planning; enabling choice; social prescribing and community based support; supported self management; and personal health budgets and integrated personal budgets – across the NHS and the wider health and care system.
For more details, please see: Universal personalised care: Implementing the Comprehensive Model
Delivering personalised care 2018/19
Significant progress has already been made in delivering the Comprehensive Model for Personalised Care, with over 28,000 personal health budgets (PHB) in place and over 180,000 people benefitting from a personalised care approach by the end of 2017/18. Nearly 69,000 people have also benefitted from a social prescribing referral in the past year (2017/18).
Personalised Care continues to expand across England with over 290,000 people now set to benefit by April 2019 through 21 personalised care demonstrator sites across the country, including 66 CCGs and 11 Integrated Care Systems (ICS)/Sustainability and Transformation Partnership (STPs). Each site will implement personalised care at scale on a local level, which builds on the successful pilots undertaken over the last three years pilots through the successful Integrated Personal Commissioning and the New Models of Care pilot programmes.
Details of these personalised care sites include:
- Covers 66 CCGs – including 11 ICS and STPs – reaching over 290,000 people;
- 11 sites will implement personalised care at scale (using the six elements of the Comprehensive Personalised Care Model) across the ICS or STP footprint and embed the programme locally.
- A further ten sites will implement elements of the personalised care model at scale across their footprint.
- In addition, the Lincolnshire, Nottinghamshire and Gloucestershire sites will be testing a broader integrated approach and will focus on all people receiving a ‘needs assessment’ under the Care Act 2014 in their areas. These sites will provide a multi-disciplinary, holistic ‘care needs assessment’ for each of these people which will result in a single, integrated ‘personalised care and support plan’, with a strong focus on prevention.
See below for the full list of personalised care demonstrator sites.
In addition to the demonstrator programme, we also have a number of other programmes in place that focus on other aspects to deliver personalised care. These include developing mentorship around the various components of the personalised care model, where local areas with expertise are available to mentor other CCGs and their partners. There are already a number of Personal Health Budget mentors and Patient Activation Measure mentors working across the country.
We also offer further national support through our online learning networks, regional leads, as well as various online tools and framework documents.
Implementing the comprehensive model across a large area (via a Sustainability and Transformation Partnership (STP) or Integrated Care System (ICS))
North East and Yorkshire
- Cumbria and the North East STP
- West Yorkshire and Harrogate ICS
- Humber, Coast and Vale STP
- South Yorkshire and Bassetlaw ICS
- Greater Manchester Health and Social Care Partnership
- Cheshire and Merseyside STP
- Lancashire and South Cumbria ICS
Midlands and East
- Nottinghamshire (ICS) (Integration accelerator) CCG
- Black Country CCG
- Hertfordshire and West Essex CCG
- Milton Keynes, Beds and Luton (ICS) CCG
- Hampshire and Isle Of Wight CCG (Hampshire and Portsmouth)
- Dorset (ICS) CCG
- Gloucestershire (Integration accelerator) CCG
- Devon CCG
Implementing some aspects of personalised care, in at least one CCG
- Northumberland CCG
- Sunderland CCG
- Hartlepool and Stockton-upon-Tees CCG
- The Wirral CCG
- West Cheshire CCG
- Sheffield CCG
Midlands and East
- Lincolnshire (Integration accelerator)
- Birmingham and Solihull
- Tower Hamlets