Giving people more choice and control

Local people have told us they want more choice and control over their own health and care. We recognise that personalising care is key to this. 

One of our system principles is too 'ensure each individual makes decisions to optimise personal value'. In order to provide the right environment for this to become a reality local health and care leaders will put assurances in place to verify that services are set up so that people are able to make decisions that allow them to maximise the value of that service to them, and are enabled to make decisions that keep them healthier for longer.

We are committed to changing the relationship between people and the health and care system, from one which asks, 'What is the matter with you?' to 'What matters to you?

ACEB 10026 Personalised Care Banner FINAL ARTWORK V3 1 3000pxh   ACEB 10026 Personalised Care Banner FINAL ARTWORK V3 2 3000pxh

Personalised care is fundamental to the changes we are seeking to make over the coming years – to deliver better health and wellbeing for local people in the Black Country and West Birmingham; by supporting people to achieve the outcomes in their personalised care plan, better quality and experience of care that is integrated and tailored around them; and more sustainable NHS services. 

By understanding people’s individual needs and personalising their care we can improve their health and wellbeing, reducing dependence/demand on statutory services. By introducing Personal Health Budgets people have more control over the services that they receive and also ensures that patients are supported to be active participants in managing their condition(s) through self-care. 

Our aim as a Personalised Care Demonstrator Site is to co-produce the solutions to increasing personalised care.

Our objectives are:

  • To develop the workforce in line with the comprehensive training schedule to improve skills, knowledge and experience to deliver personalised care.
  • To support service development, in partnership with stakeholders, to ensure the implementation of new approaches to care delivery e.g. Shared Decision Making, Personalised Care and Support Planning, Health Coaching.
  • Strengthen peer support through the delivery of facilitation training through the local Community and Voluntary services.
  • To work as a system to personalise end of life care to support people to die in the place they have chosen.

People will have more choice and control over their health and care. As we implement the comprehensive model for personalised care, including:

Shared Decision Making

Shared process with health and care professional and the person to help support people to reach a decision about their treatment.

Personalised Care and Support Planning

Personalised Care and Support Planning is a series of conversations in which the person (or those who know them well) are involved in discussions about the management of their health and wellbeing within the context of their whole life and family situation. It recognises the person’s skills and strengths as well as their experience and the things that matter the most to them. It addresses things that aren’t working in the person’s life and identifies outcome and actions to resolve these.

Choice

Enables people to have choice of provider (who delivers the service) and access to services that better meet their needs. This includes people’s legal rights to choose where they go for an outpatient appointment, and a suitable alternative provider if people are not able to access certain services within the national waiting time standards.

Social Prescribing and Community Based Support

Social Prescribing and Community Based Support helps people to improve their health, wellbeing and social welfare by connecting them to community services which are usually locally run. An example being signposting to dementia support groups, or supporting people to get involved in community activities.

Supported Self-Management

Includes Health Coaching, peer support, self-management, and self-management education. Health Coaching helps people gain and use the knowledge, skills and confidence to become active participants in their care in order to reach their wellbeing goals. Peer support is a range of approaches through which people with similar long term conditions support each other to better understand their condition and aid self-management. Self-management education is any form of formal education for people with long term conditions focused on helping them manage their own health care effectively.

Personal Health Budgets

Personal Health Budgets (PHBs) are a way of personalising care based around what matters to people. A PHB is an amount of money to support the identified health care and wellbeing needs of an individual. A PHB enables people to have choice and control over decisions about their care and the budget that is available to meet their needs.

 

Our Plans include the following:

  • Continue to train our workforce in Personalised Care and Support Planning (PCSP) and Health Coaching
  • People registered as having a Long Term Condition will have a Personalised Care Plan as part of their annual review
  • Deliver “train the trainer” training programme, growing resilience across the system
  • The system will release a multi-disciplinary team to engage with the national Shared Decision Making Programme. This team will support the Personalised Care leads with the introduction and spread of Shared Decision Making.
  • Increase the utilisation of the Patient Activation Model tool (or approved equivalent) to support the measuring of the impact of Personalised care on an individual’s health and wellbeing.
  • We will support the development of a group of Clinical / Professional Champions to promote and engage staff to adopt the Personalised approach.
  • We will deliver, along with our Clinical Champions, a number of wide-scale engagement events to promote Personalised Care across the STP.
  • Explore PHBs for high intensity users and integrated personal budgets for children and young people with complex needs and Education Health and Care (EHC) plans.
  • Expand PHBs for people with Section 117, wheelchairs and High intensity users. We have recently introduced a scheme in conjunction with National Express whereby patients under a S117 can use a PHB to purchase a bus pass, at a negotiated price, to enable them to access services across the area.

In The News

  • Local health leaders show support for carers during Carers Week 2020

    Heath bosses in the Black Country and West Birmingham are celebrating the role of carers as part of national Carers Week, especially because of the important contributions they have made during the coronavirus pandemic. This week (8-14 June 2020) is Carers Week – a national awareness initiative highlighting the important work being done by carers in the community – and local health leaders in the Black Country and West Birmingham are supporting this important campaign. Jonathan Fellows, Indepe...

    Read more

  • Health chiefs encourage people to visit pharmacies first

    As part of the national Help Us, Help You campaign, health bosses in the Black Country and West Birmingham are encouraging people to visit their pharmacy for advice on minor injuries and ailments. Research shows that 27 percent of general practice appointments in England could potentially be treated elsewhere. Approximately 18 million of these could be treated through self-care and community pharmacies. Many pharmacies are open late, making it easier than ever to get advice. They can advise yo...

    Read more

  • NHS rapid response team helps frail older patients

    Against a background of an ageing population and increasing frailty, one NHS Trust has identified opportunities to provide a service targeted at this patient group. The initiative is designed to prevent unnecessary hospital admissions through the emergency front door and keep frail older people safe in their own homes.  Emma Hibbs, Advanced Physiotherapist at Sandwell and West Birmingham Hospitals NHS Trust, explains: “We know that nationally around 50% of the population aged 65+ live with...

    Read more

  • Healthier Futures partnership secures funding to develop system-wide digital app

    The Healthier Futures partnership (Black Country & West Birmingham STP) has been awarded NHS funding following a successful pitch, to develop a healthcare app which will increase access to services for the local population. The NHS has identified funding to accelerate worthwhile projects across the country, inviting bids from all systems. A very limited number of organisations were invited to pitch to their respective regional digital teams and the Healthier Futures partnership has been su...

    Read more

  • It’s all aboard for popular NHS event

    The next stops for a popular NHS event have been confirmed in the Black Country. More than 200 people flocked to the big NHS red bus in Walsall City Centre to bag advice and freebies to help them keep well this Winter. NHS Clinical Commissioning Groups across the Black Country are behind the events, which aim to raise awareness of the simple steps people can take to keep well during winter. The importance of getting the flu vaccine, how keeping warm can help keep illnesses at bay and reminding...

    Read more

  • Check in on vulnerable people this Christmas

    People in the Black Country and West Birmingham are being advised to wrap up warm over the winter season and to look out for vulnerable people during the Christmas and New Year period. Local people are being asked to remember older relatives, friends and neighbours as well as other vulnerable people at this time of year. The over 65s and those with long-term health conditions or disabilities are at increased risk of illness during the winter months. It is important to regularly check in on ol...

    Read more

  • Black Country mental health employment service to expand support to local people

    A local service that helps people with severe mental illness to find employment, has successfully obtained additional funding from NHS England to expand its service in the Black Country. The NHS Five Year Forward View (2014) recognises that the employment rate of people with severe and enduring mental health problems is the lowest of all disability groups at just 7%. Furthermore, mental health problems now account for more than twice the number of Employment and Support Allowance and Incapacity...

    Read more

  • Dr Doreen Tipton says get the flu jab!

    Doreen Tipton joins health professionals to urge patients across the Black and West Birmingham to get their free flu jabs before the winter sets in. In a video launched by Futureproof Health, the Black Country comic icon Doreen Tipton, played by actress Gill Jordan reminds residents that it’s time for those at greatest risk from flu to protect themselves and their families with a free flu jab. Flu is a highly contagious infection that anyone can catch, and it can be a really serious illness fo...

    Read more

  • Service to cut A&E visits from “frequent callers” in the Black Country a Success

    Vulnerable patients are benefitting from a new frequent user project across the Black Country and West Birmingham. A one-year evaluation of the project commissioned by Dudley CCG and Dudley CVS has shown that in those patients who frequently attend A&E, there was a 33% reduction in attendances and a 41% reduction in inpatient admissions, saving the NHS more than £500,000. Delivered by the Dudley CVS Integrated Plus social prescribing team and match-funded by Dudley CCG and the Department o...

    Read more

  • Frailty assessment area relocated

    A hospital in Dudley has transformed the way it assesses frail elderly patients who arrive at its Emergency Department ensuring they receive optimal care from a dedicated frailty team providing comprehensive geriatric assessment. Russells Hall Hospital has moved its ward-based frailty assessment unit to the Emergency Department, in line with recommendation in the NHS Long Term Plan, enabling patients to get home sooner and maintaining their independence. Frail patients with complex health cond...

    Read more