A supportive landscape for care and support planning
Although NHS funding and workforce constraints continue, recent health and social care policy changes look set to create an environment that will support wider adoption of care and support planning.
All the devolved health nations have identified person-centred care as a priority in their latest strategies and many specifically mention the importance of care and support planning.
In England, the NHS Five Year Forward View encourages a focus on empowered, personalised care and supported self-management, as well as improvements in the delivery of care for people with LTCs.1 Sustainability and Transformation Partnerships also represent a new multidisciplinary, community way of working that fits with the care and support planning approach. The new Multispecialty Community Provider contracts being introduced as part of the General Practice Forward View are also intended to integrate general practice services with community services and wider healthcare services.2
The National Clinical Strategy, the national self-management strategy for LTCs in Scotland, and the Health and Social Care Delivery Plan all support the wider spread and scaling up of care and support planning as part of a wider programme of person-centred care.3-6 The Chief Medical Officer’s Realistic Medicine approach is aimed at “building a more personalised approach to care, in partnership with people through shared decision-making” across Scotland.7 The ethos of the new GP contract also aligns with care and support planning and will see GPs take on a broader oversight and clinical leadership role, similar to the role GPs have had in this programme.8
In its 2017-20 Strategic Plan and the more recent Plan for Health and Social Care, Public Health Wales commits to developing and supporting primary and community care services to improve the public’s health as a strategic priority, and says it has “a key role to play supporting the development of new models that best support and meet the needs of the public”.9,10
Northern Ireland’s Health and Wellbeing 2026: Delivering Together plan “puts people at the forefront” and states that “where care or support is needed it will be wherever possible provided in the community setting”.11 A strong emphasis is placed on “ensuring the user’s voice is heard, as they will play a key role in developing and implementing new services and care pathways”.
Next: A growing evidence base
1 NHS England, 2014. Five Year Forward View.
2 NHS England, 2016. General Practice Forward View.
3 Scottish Government, 2016. A National Clinical Strategy for Scotland.
4 Scottish Government, 2008. Gaun Yersel, The Self Management Strategy for Long Term Conditions in Scotland.
5 Scottish Government. Health and Social Care Delivery Plan.
6 Health and Social Care Alliance Scotland. Scotland’s House of Care.
7 Scottish Government. Chief Medical Officer’s Report. Practising Realistic Medicine.
8 Scottish Government, 2018. Scottish GP contract 2018.
9 Public Health Wales, 2016. Our Strategic Plan: A Healthier, Happier and Fairer Wales.
10 Public Health Wales, 2016. A Healthier Wales: Our Plan for Health and Social Care.
11 Northern Ireland Department of Health, 2016. Health and Wellbeing 2026: Delivering Together.