Year of Care Partnerships has worked with organisations to implement personalised care and support planning in a variety of settings and for people with different conditions. The following case studies illustrate the implementation of personalised care and support planning for people with single conditions such as diabetes and respiratory, multiple long-term conditions and older people living with frailty.​

Implementing personalised care and support planning at scale

Year of Care Partnerships has worked with organisations at a strategic level to plan, support and deliver the wholescale adoption of personalised care and support planning. The examples below illustrate what’s involved, the critical success factors and the impact.

  1. Thames Valley case study document - Implementing personalised care and support planning across Thames Valley
  2. Newcastle Gateshead CCG:
    1. The King's Fund Reimagining General Practice Event - ‘Redesigning general practice around care for long-term conditions and multimorbidity’ poster.
    2. A case study about the Gateshead experience of implementing personalised care and support planning for The Richmond Group's Guidebook on Multiple Conditions
    3. A document from Newcastle practices - Care and support planning stories from the front line
  3. South Tyneside CCG - 'Better Care - Personalised Care' - a video showing integrating the Year of Care approach within their personalised care strategy with strong links to social prescribing. 

Multiple long-term conditions in primary care

Year of Care Partnerships has worked with individual practices and their clinical leads to provide support, training and facilitation to implement personalised care and support planning for people with multiple long-term conditions and frailty.

  1. The Glenpark Story – case study document and video
  2. The St Triduana’s Story - case study document
  3. The Carlisle Story – integrated community care case study document and video
  4. The Holmside Story - case study document

Adaptations to personalised care and support planning during the COVID-19 pandemic

This case study demonstrates the adaptations made to personalised care and support planning to include remote consultations.

  1. The Burnbrae Story - case study document

Single long-term conditions

The original Year of Care pilot tested personalised care and support planning for people with diabetes (the principles have since been applied to other long-term conditions). These videos demonstrate learning from the early pilot and the use of technology to enhance personalised care and support planning in diabetes.

  1. Tower Hamlets (Year of Care pilot site) – video
  2. South West London – project launch video

Other settings

Year of Care Partnerships has been able to take the core principles of personalised care and support planning and apply them to a range of health settings including specialist care and overseas.

  1. Successes and challenges of a care and support planning implementation for people with diabetes in Singapore
  2. Implementing a care and support planning approach for people attending specialist adult weight management services in North Tyneside