The House of Care framework

A collaborative care and support planning conversation sits at the centre of the House of Care framework.

To facilitate this conversation, four components need to be in place.

Diagram showing structure of the house of care

The left wall

This represents the informed, engaged patient and the preparation needed for them and their carers to feel equipped to contribute fully to the care and support planning conversation. For example, this means providing test results in an accessible format, with explanatory information, alongside agenda-setting points to help patients reflect on what they want to discuss in the consultation.

The right wall

This represents a commitment by healthcare professionals to move from a medical focus towards a person-centred approach. It also reflects the training in care and support planning they require and the knowledge-sharing that needs to happen to provide integrated, bespoke care based on what is important to the patient.

The roof

The roof is the infrastructure that needs to be in place, such as IT systems for sharing data and effective administration for sending out test results and coordinating appointments. It ensures that the people and processes required to deliver care and support planning consultations are in position.

The foundation

This recognises that people’s needs are likely to stretch beyond the current medical model. It demands planning and commissioning of services that fully meet the clinical and psychosocial needs of the local patient population. These are delivered through local health, social and community providers, and should be shaped by care and support planning conversations. This is often referred to as social prescribing, also known as More than Medicine.*

The intention is that a care and support planning approach will allow better use of existing assets within the community (including the agency of people with LTCs themselves). It will enable people with LTCs to be better informed and more confident in self-managing their conditions, supported by health and social care professionals. 

Learn more about the House of Care framework at the Year of Care Partnerships website.

*Source: Nesta, 2013. More than Medicine. New Services for People Powered Health. media.nesta.org.uk/documents/more_than_medicine.pdf

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