The Comprehensive Model for Personalised Care James Sanderson May 2019 www.england.nhs.uk
Comprehensive Model for Personalised Care All age, whole population approach to Personalised Care TARGET POPULATIONS INTERVENTIONS OUTCOMES Specialist Integrated Personal Commissioning , including Empowering people, proactive case finding, and personalised care and integrating care and support planning through multidisciplinary teams, reducing unplanned personal health budgets and integrated personal budgets . service use. People Plus Universal and Targeted interventions with complex Targeted needs Supporting people to 5% Proactive case finding and personalised care and build knowledge, skills support planning through General Practice. Support to self manage by increasing and confidence and to live patient activation through access to health coaching, People with long well with their health peer support and self management education. term physical conditions. Plus Universal interventions and mental health conditions 30% Universal Supporting people to stay well and Shared Decision Making . building community resilience, Enabling choice (e.g. in maternity, elective enabling people to make informed and end of life care). decisions and choices when their Whole population Social prescribing and link worker roles. health changes. 100% Community-based support .
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