- The Year of Care Pilot Programme
- The policy context
- Why Year of Care? The case for change
- What works for LTCs
- Care planning - what is it?
- The benefits
- The care planning training support programme
- Information technology
- Commissioning and Year of Care
- About us - Year of Care Partnerships
- Contacts
- Year of Care resources
- References
- Year of care forum
- Year of care document library
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The care planning house
The Year of Care (YOC) programme developed a systematic and practical approach to support care planning delivery described as the care planning ‘House’. The collaborative consultation cannot take place without addressing the practice and clinic infrastructure that surrounds it.
The House with its walls, roof and foundations acts as a metaphor as well as a checklist, emphasising the importance and inter-dependence of each element – if one element is weak or missing the service is not fit for purpose.
The key components are the person with diabetes being engaged and informed, working with health care professionals who are committed to partnership working. The framework shows that that this will only occur in practice if there are sound organisational processes that facilitate their interaction, built on the foundations of robust commissioning processes.
The diagram illustrates the core features of the house surrounded by the details the YOC pilot sites identified as important in practice for diabetes. Some of these will vary for other conditions and illustrates how the ‘house’ is a flexible set of principles which can be adapted to differing conditions and different sites of care.
For more details of what the house may mean in practice see Chapter 4 (PDF 1.1KB).
The two step review
Working in diabetes YOC developed the concept of care planning as a two visit process; the first to gather traditional clinical information with a view to sharing it with the person with diabetes. This enables them to reflect on it, potentially with family and friends, so that at the second care planning consultation this can be integrated with the person’s experience of living with diabetes to form a shared agenda. This is a practical reflection of the core principles of collaborative care planning at the centre of the House.
Read how these principles are being adapted for people with other long term conditions.
