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The Year of Care Pilot Programme 

Year of Care (YOC) puts people with long term conditions (LTCs) firmly in the driving seat of their care and supports them to self manage.  It transforms the diabetes annual review into a constructive and meaningful dialogue between the healthcare professional and the person with diabetes.  Year of Care programme has two components:

  • Firstly it enhances the routine biomedical surveillance and ‘QOF review’ with a collaborative consultation, based on shared decision making and self management support, via care planning (CP)
  • and then ensures there is a choice of local services people need to support the actions they want to take to improve their health, wellbeing and health outcomes, available through commissioning.

year-of-care-pilot-linking-care-planning-1.jpg                                                            YOC - linking care planning and commissioning


To achieve the best outcomes both effective care planning and commissioning have to be in place and working together.

The Year of Care programme set out to address issues of feasibility, ‘could it be done’ and practicalities ‘how can it done’ in the real world of the NHS. It has successfully provided the practical evidence and support to achieve this.

Three pilot sites were recruited to test the Year of Care approach in diabetes care, following a robust tendering process.  As well as their ability to implement the Year of Care, the final selection was based partly on the spread of demographics and geography that these sites represented.

Details of the organisation, governance, and evaluations from the pilot programme can be found in Chapter 3 (PDF 1.1MB)

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