Examples and case studies
Year of Care Partnerships have now worked with a number of organisations to implement care and support planning in a variety of settings and with different conditions. This includes diabetes, multiple long term conditions within a Primary Care setting and multimorbidity / older people living with frailty. The Year of Care case studies provides examples of how this was achieved.
12 months ago Carlisle Healthcare embarked upon their implementation of an integrated approach to personalised care and support planning (CSP) for those with multi-morbidity and frailty who would otherwise be unable to attend their usual surgery for routine care. This built on an established approach to care and support planning for people with long term conditions who would usually attend the practice for their care. To read more about this please see The Carlisle Story.
The Holmside Story and Glenpark Story illustrate how two practices have implemented care and support planning for their long term condition population ensuring that individuals who have multiple conditions do not have separate disease specific care planning appointments.
Dr Becky Haines is a GP from Glenpark Medical Centre and delivered a keynote speech at the Year of Care Community of Practice Network Event in June 2016. She discussed how the practice decided to implement care and support planning and the journey they have been on ever since. To see a summary of some of the main points Becky raised please click the link below:
Tower Hamlets were one of the original Year of Care pilot sites. GP and clinical lead Isabel Hodkinson describes the Tower Hamlets story in this Webex https://www.youtube.com/watch?v=85BM9EhR4NU&feature=youtu.be.