- 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
- How to get going with care planning
- Year of Care resources
- Year of care document library
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Year of Care resources
This provides direct access to main Year of Care documents:
Getting to Grips with Year of Care: A practical Guide: 2008 (PDF 2.5MB) - This document was produced at the end of the Year 1. It summarises the background and learning from the first phase of Year of Care (YOC) programme including the key thinking around care planning and commissioning. It introduces and provides an overview of the Care Planning House. It remains a useful introduction to the Programme.
Partners in Care: A Guide to implementing a Care Planning Approach to Diabetes Care: 2nd ed. 2010 (PDF 3.7MB) -This is the key Guide to the philosophy and delivery of the care planning consultation and is an important resource for practitioners wishing to reflect on their practice and introduce care planning. It is used in Year of Care training.
Care planning Improving the lives of people with LTCs; encouraging partnership; increasing the quality of Care: 2011: RCGP (PDF KB) - Produced herewith kind permission of the Royal College of General Practitioners this document was produced with the support of key members of the YOC programme. It is a comprehensive account of the rationale for support for self management in LTCs, the case for change, and practical delivery and monitoring of care planning. It provides practical examples and key tips on how to introduce care planning at practice level by walking around the house. It provides a detailed how to do it manual.
Year of Care report of findings from the pilot programme and Year of Care: Pilot Case Studies: 2011 (PDF 4.2MB) - This is the formal report on the Programme describing the background, aims and objectives, parallel evaluations, the way the programme was delivered and its impact. Case studies of each of the pilot sites are provided as companion documents. Together they include key learning about implementing the Year of Care approach to care planning and the lessons for commissioning for LTCs. They will be of interest to policy makers, those with broad interests in commissioning and service delivery of personalised care for those with LTCs, and anyone contemplating introducing and embedding a programme of cultural change across the NHS.
Thanks for the Petunias a guide to developing and commissioning non-traditional providers to support the self management of people with long term conditions: 2011 (PDF 809KB) - This Guide was produced in response to the discovery that there are numerous barriers and lack of experience in commissioning non traditional community services to support self management. It outlines these issues and provides a commissioning and delivery model which addresses them. It will be of particular interest to clinical commissioning groups, public health commissioners and Health and Wellbeing Boards.
Theory and the Real World What happens in Practice: Introducing a complex intervention into a complex environment: ten challenges and dilemmas from the YOC Programme (PDF 45.7KB) - This brief review from the Year of Care Stakeholder Reviewer is also summarised as Chapter 17 of Year of Care: Report of findings from the pilot programme (PDF 1MB). It describes some of the real challenges of introducing complex change within a complex organisation like the NHS. It should prove of interest to policy makers, service and project managers and innovation leaders.
Mind Your Language: The Year of Care Consultation Skills and Philosophy Toolkit (PDF 156.2KB) - This document provides a reflective tool for teams and individual staff as they set out to review the language they use, in their written materials, communication with patients and spoken within the consultation. It is used in training and includes exercises for a practice to work on together, including support to explore skills and identify areas for development and improvement.
Range of summaries: key information / learning about the YOC Programme including
The Year of Care Programme: Commissioning for Diabetes and other Long Term Conditions: 2011. This two page summary outlines the Year of Care long term conditions commissioning model with examples of increased productivity (PDF 365.2KB)
Workforce issues and service planning for people with Long Term Conditions (LTCs): 2011. This single sheet clarifies the differing needs of people with LTCs and the differing roles of NHS staff that provide care and support (Word 582KB)
Care Planning in the Year of Care Programme: Making it easier to do the right things 2010. This is a printable summary of Poster 211 given at the Diabetes UK APC in 2010 and describes the essential components of the Year of Care approach to care planning (482.9KB)
Other Year of Care Publications
2nd Therapeutic Patient Education (TPE) Conference including 4th
International DAWN Summit, Budapest, 2008. The Diabetes Year of Care Pilot: Providing
and Commissioning Mainstream Diabetes Services that Support Effective
Self-Management.Lewis-Barned N, Akroyd T, Dilks S, Eaton S,
Hodkinson I, Ludbrook S, Ryrie I, Roberts S
Diabetes UK APC 2009: P296: What do patients and clinicians think of Year of Care? Ludbrook S, Doherty Y, Lewis-Barned N. Diabetic Medicine 24 (Suppl. 1) p 79-199
Diabetes UK APC 2009: P499: Identifying and meeting training needs for care planning: a collaborative and iterative approach from the Year of Care pilot sites. Eaton S, Doherty Y, Walker R, Ackroyd T, Johnson G, Readman S, Roberts S. Diabetic Medicine 24 (Suppl. 1) p 79-199
Diabetes UK APC 2009: 368: Use of electronic patient records to document care planning consultations. Pope R. Diabetic Medicine 24: suppl 1 p147
SDO Conference: 2009: Developing a Year of Care for people with diabetes: can it be done and can it be measured? Sweeney G, T Thomas T, Turner B, Roberts S
Diabetes UK 2010: P211: Care Planning in the Year of Care Programme: Making it easier to do the right things. Roberts S, Dilks S, Eaton S, Johnson G, Lewis-Barned N, Mitchell J, Oliver L, Pope R, Russell D, Thomas J
Diabetes UK APC 2010: P502: Goals chosen by people with diabetes during care planning consultations. Pope R, Coletta J, Ali S. Diabetic Medicine 27 Suppl 1 p 184
Managing Long Term Conditions 2010: Care Planning in the Year of Care Programme: Making it easier to do the right things. Roberts S, Dilks S, Eaton S, Johnson G, Lewis-Barned N, Mitchell J, Oliver L, Pope R, Russell D, Thomas J
Diabetes APC 2011: How good is primary care at supporting self management for people with diabetes? Using the PCRS-UK - a new tool to support practice self reflection and improvement. Authors: Hodkinson I, Roberts S , Russell D , Worthington A
Diabetes APC 2011: P366: What services do people with diabetes really want? Developing and commissioning non-traditional services to support self management. Lewis-Barned N, King S, Sprake C, Drinkwater C, Pilkington G, Roberts S, Cowling S, Snowdon, Twigg T, Mitchell J
Managing Long Term Conditions 2011: What services do people with diabetes really want? Developing and commissioning non-traditional services to support self management. Lewis-Barned N, King S, Sprake C, Drinkwater C, Pilkington G, Roberts S, Cowling S, Snowdon, Twigg T, Mitchell J
The Impact and outputs from the Year of Care Programme . Sue Roberts, Sheila Dilks, Simon Eaton, Isabel Hodkinson, Gillian Johnson, Nick Lewis-Barned, Lindsay Oliver,Bridget Turner, Anne Worthington - on behalf of the Year of Care programme. Diabetic Medicine (sup) March 2012, 9;115 (PDF 109.9KB)
Why should people with Type 1 diabetes miss out? Establishing Year of Care in the hospital setting. R Page, A Archer , S Kay. Nottingham University hospitals. Diabetic Medicine 2012,29 (sup);100 (PDF 31.4KB)
Patient experience of Care Planning in a specialist diabetes clinic setting. K Vithian, A Routledge, J Redgate, N Higgins,E Simpson, J Upton, R Westgate & C Hay. Cumbria Diabetes, Cumbria Partnership NHS Foundation Trust, Carlisle, UK . Diabetic Medicine (Sup). March 2012, 9:167-168 (PDF 1.1MB)