BHF House of Care
The success of the NHS over the past 70 years means we’re all living longer so now more people have mutliple long term health conditions such as cardiovascular disease. Yet care is still based around individual diseases. For your patients, care can feel fragmented. The system’s not empowering them to self-manage their conditions – they’re not part of decision making. Our NHS is struggling to cope, putting you and your colleagues under increasing pressure. There must be an alternative. There is – it’s called care and support planning It’s a new way to deliver person-centered care and the British Heart Foundation wants to be a part of it. Central to this is a collaborative conversation to consider what really matters to patients. To review how things are going and to discuss goals which are recorded in a care plan. It’s why we’ve helped to fund the House of Care, developed by the year of care partnerships. This framework describes what needs to be in place to deliver that conversation. The right wall represents professionals committed to working in partnership with patients and the wider healthcare team. The left wall is what helps individuals feel more informed and prepared, such as receiving test results and prompts before appointments. Organisational processes form the roof – it includes elements such as IT systems, administration to share those prompts and test results. The foundation is responsive planning and social prescribing, so people with long term conditions can benefit from community, specialist, and social support. At it’s heart is that face to face conversation, where the individual and the health professional identify goals to improve health and wellbeing. This approach is building momentum across the UK. The BHF have used the framework to support people with cardiovascular disease. We invested £1.5 million into a three year programme across England and Scotland, and the outcomes are highly encouraging. More than 13,000 patients went through care and support planning. As a result, 75% said they had a better understanding of their conditions. Many saw improvements in their care, health professionals thought the process worked better for them, and reported higher levels of job satisfaction. With the right support, time and investment, this could help many more people with long term conditions. Now, it’s your turn We need everybody, no matter who you are.