What is Universal Personalised Care (UPC)?
For many years the NHS has talked about the need to shift towards a more personalised approach to health and care. A one-size-fits-all health and care system simply cannot meet the increasing complexity of people’s needs and expectations.
The NHS Long Term Plan is clear the time has come to give people the same choice and control over their mental and physical health that they have come to expect in every other part of their life. As well as being instinctively the right thing to do on a human level, a growing body of evidence shows that better outcomes and experiences, as well as reduced health inequalities, are possible when people have the opportunity to actively shape their care and support.
Universal Personal Care is an NHS England and Improvement plan laying out how these changes will be implemented across England. It details a comprehensive model made up of 6 connected components. These are:
Shared decision making (see factsheet): People are supported to understand the care, treatment and support options available and the risks, benefits and consequences of those options, and to make a decision about a preferred course of action, based on evidence-based, good quality information and their personal preferences.
Personalised care and support planning (see factsheet): People have proactive, personalised conversations which focus on what matters to them, delivered through a six-stage process and paying attention to their clinical needs as well as their wider health and wellbeing.
Enabling choice, including legal rights to choice: Enables choice of provider and services that better meet people’s needs, including legal rights to choice in respect of first outpatient appointments, and suitable alternative provider if people are not able to access certain services within the national waiting time standards.
Social prescribing and community-based support (see factsheet): Enables all local agencies to refer people to a ‘link worker’ to connect them into community-based support, building on what matters to the person as identified through shared decision making / personalised care and support planning, and making the most of community and informal support.
Supported self-management (see factsheet): Increasing the knowledge, skills and confidence a person has in managing their own health and care through systematically putting in place interventions such as health coaching, self-management education and peer support.
Personal health budgets and integrated personal budgets (IPB) (see factsheet): An amount of money to support a person’s identified health and wellbeing needs, planned and agreed between them and their local CCG. May lead to integrated personal budgets for those with both health and social care needs. This isn’t new money, but a different way of spending health funding to meet the needs of an individual.
Watch the animation below to see how these components will work together to transform how people experience health services. Our Dementia Change Action Network will help NHS understand how to ensure these universal changes benefit the lives of people with dementia and those who love and care for them.
To learn more about how DCAN is making personalised care for people with dementia a reality, or to get involved, join us today.