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Why Year of Care? The case for change

People with long term conditions (LTCs) drew this picture at a world café event to show what it is like to live with a LTC.

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The green wavy line represents the ups and downs of daily life, when the person is managing their condition and their life, away from contact with health and social services. The vertical orange lines represent these contact points and demonstrate that not only are these contacts short (3 hours versus 8757 hours of self care) but they are often arranged at regular intervals, unrelated to real life events or the needs of the person involved.

The Healthcare Commission survey (Healthcare Commission. (2007). Managing Diabetes: Improving Services for People with Diabetes. Service Review), showed that this contact time is often spent neither efficiently not effectively in terms of supporting self care. As illustrated in the graph below, although 95% of people with diabetes, for example, are seen annually, only 50% discuss a plan to manage their diabetes and less than 50% discuss their own goals for self management (Healthcare Commission, 2007. Managing Diabetes: Improving Services for People with Diabetes. Service Review). Half the current time devoted to routine care is thus wasted. 

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The image above shows the mismatch between the number of people known to have diabetes who have annual check-ups and those that receive support for self management during those visits.

The Year of Care programme set out to deliver something more effective via care planning.

Read more about care planning (the orange vertical line) its impact, support for commissioning for non traditional community services (the green wavy line) to support self management and Chapter 2 (1.1MB) of the Year of Care Report.

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