Services and the system are designed around the individual and the outcomes important to them, and developed with people who use or provide services and their communities.
Definitions
National Voices defined person-centred care through a series of I statements, which set out a person's expectations of good coordinated care; these can be used to frame the partnership between professionals and those using health and care services (see link below)
The Health Foundation has identified a framework that comprises four principles of person-centred care:
- affording people dignity, compassion and respect
- offering coordinated care, support or treatment
- offering personalised care, support or treatment
- supporting people to recognise and develop their own strengths and abilities to enable them to live an independent and fulfilling life.
Statutory duties
- Health and Social Care Act 2012 requires Clinical Commissioning Groups to promote the involvement of each patient
- Care Act 2014 requires local authorities to involve adults in their assessment, care and support planning and review
- Integrated care licence condition applies to licensed providers of NHS-funded services, including person-centred delivery and engagement
- CQC: Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 9 describes the action to make sure that each person receives appropriate person-centred care and treatment.
Frequently asked questions
What does person centred care look like?
- It ensures services treat people with dignity and are personalised to their needs, and are based on a single system-wide assessment of the needs of the whole population
- It gives citizens greater choice and control of services and support, including encouraging the use of a personal budget for health and social care.
Case studies and examples
- Health and Wellbeing Board good practice
- Threshold Pathways to Independence: Stockport's Targeted Prevention Alliance gives information about the service
-
is a patient's story - National Voices: Supporting shared decision-making: A summary of the evidence compiles information from 48 systematic reviews and details some of the most effective approaches.
LGA support and resources
- The Care Act 2014: how do you know your council is successfully embedding the Care Act? emphasises a person-centred approach across council's policies and programmes.
Selected tools and resources from our partners
- National voices: A Narrative for Person-Centred Coordinated Care sets out what matters most to patients and service users and develops 'I Statements' from the perspective of service users
- Accelerated Access Review: Involving patients and citizens: I Statements for research and innovation provides guidance on how to design ‘I Statements'
- National Voices: What is the role of VCSE organisations in care and support planning considers how voluntary, community and social enterprise (VCSE) organisations can meaningfully contribute to the care and support planning process, and offers practical examples of the ways in which this is already happening
- National Voices: Enhancing experience of healthcare: A summary of the evidence focuses on improving consultations, using feedback to inform practice, and redesigning services so that the patient is at the centre
- NICE: Community engagement: Improving health and wellbeing and reducing health inequalities offers guidelines covering community engagement approaches and helping to ensure initiatives are effective and local government and health bodies meet their statutory obligations
- Health Foundation: Person-centred care made simple is a guide to good practice.