Evidence and findings from the BHF House of Care Programme

Our programme successfully introduced care and support planning across five sites, improved patient care and provided evidence for further roll-out.

 

Overall, 41 general practices across the five sites have successfully introduced a care and support planning approach as part of our programme. All sites have made sustainable shifts towards person-centred care.

The programme met its aim of providing better quality care for people with heart and circulatory LTCs. We were encouraged to see that the move towards care and support planning also had a positive impact for healthcare professionals.

Experience to date suggests that extending the approach to multiple LTCs could further enhance the patient experience, reduce costs and save time through improved working practices. 

Highlights 

 

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13,061 

people received a care and support planning review1
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41 

practices introduced care and support planning as part of this programmeb
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75% 

said they were ‘better’ or ‘much better’ able to understand their condition2

 

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68% 

of patients were happy with the information they received3

 

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60% 

of patients felt their care and support was 'almost always' joined up4
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41% 

felt ‘very confident’ managing their healthc,5
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59% 

of patients ‘almost always’ discussed what was important for them6

Source: Patient survey results at follow-up (after care and support planning had been embedded in sites), compared to surveys at baseline (when sites were establishing care and support planning). '75%' result baseline data only. For full data and limitations, see the programme evaluation report.

Find out more

Learn more about the outcomes of the programme on the following pages:

Next: Improved care

 

References

a NHS Gateshead and NHS Newcastle CCGs merged in 2015. The evaluation focuses only on work in Gateshead as this was a single site at the time of funding.

b 41 practices were specifically included as part of the BHF programme and the evaluation, but more practices have adopted the approach across these five sites.

c Lower confidence was linked to factors such as uncertainty over what results meant or stress/anxiety about being more involved in the conversation. Further encouragement to boost confidence to self-manage with support may be needed. See Improved care for more.

1 ICF Consulting Ltd, 2018. House of Care Evaluation: Final Report, page 8

2 ICF Consulting Ltd, 2018. House of Care Evaluation: Final Report, page 62, Table 8.8

3 ICF Consulting Ltd, 2018. House of Care Evaluation: Final Report, page 61, Table 8.6

4 ICF Consulting Ltd, 2018. House of Care Evaluation: Final Report, page 60, Table 8.5

5 ICF Consulting Ltd, 2018. House of Care Evaluation: Final Report, page 61, Table 8.7

6 ICF Consulting Ltd, 2018. House of Care Evaluation: Final Report, page 60, Table 8.4