The Year of Care approach drawns on a number of models and approaches which describe a way of working supported by an evidence base. The chronic care model (Wagner, EH, Austin BT, Von Korff, M. (1996) Organising Care for Patients with Chronic Illness) describes how better outcomes for people with LTCs can be achieved when there is partnership working between an ‘engaged’, ‘empowered’ or ‘activated patient’ and an organised proactive healthcare system(as exemplified by the House).
A recent Cochrane review summarises the evidence for care and support planning (Personalised care planning for adults with chronic or long term health conditions. Coulter A, Entwistle VA et al 2015 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010523.pub2/abstract. Improvements are seen when care and support planning is integrated into routine care, includes goal setting and action planning and ensures both practitioners and patients receive appropriate training and support.
Angela Coulter delivered a keynote speech entitled 'Care and support planning - the time is now' at our Community of Practice Network Event in June 2016 and discussed some of the findings from the review. To see a summary of some of the key points Angela raised please click the link below:
There is an extensive evidence base for the effectiveness of interventions which support self management and their cost effectiveness. Self care is one of the best examples of how partnerships between the public and health service can work - for every £100 spent on encouraging self care, around £150 worth of benefits can be achieved in return (Wanless D. (2002). Securing Our Future Health: Taking a Long-Term View. Final Report. HM Treasury).
Both National Voices http://www.nationalvoices.org.uk/evidence and the Health Foundation http://www.health.org.uk/publications/evidence-helping-people-help-themselves/ have produced summaries of the evidence for this way of working.
More recently NESTA's People Powered Health Programme estimated that over 4 billion pounds could be saved annually if comprehensive support for self management was implemented in England. Year of Care (via care and support planning and commissioning non-traditional services to support self management) provides a systematic and practical approach to putting support for self management into routine practice.