House of Care review of 2017

Our House of Care team review activities over 2017 for our annual report.

Reflecting on 2017

Scotland’s House of Care programme has worked to consolidate existing practice, further develop collaborative alliances, and secure resource to support the spread and sustainability within adopter sites.

Progress

The Scottish Government in partnership with the ALLIANCE supports the adoption of collaborative Care and Support Planning (CSP) as an evidence-based approach to meeting the needs of people living with long term conditions in Scotland, with the House of Care (HoC) providing the overarching framing narrative.

The key aim of the HoC programme is to support health and social care to flourish by building the Scottish capacity for person centred care through collaborative, care and support planning conversations, with supported self management at the heart.

The ALLIANCE has continued to lead the implementation programme in five Adopter sites in Scotland, working in partnership with Lothian/Thistle Foundation, Greater Glasgow and Clyde, Tayside, Ayrshire & Arran and Lanarkshire; the Year of Care Partnerships (YoCP); and The British Heart Foundation (BHF).

The third year of the BHF funded an HoC implementation and evaluation programme commenced across three sites in Scotland and two in England (195k for 2017-18 Lothian; Tayside and Glasgow). The third interim evaluation report was completed and all interim and final reports will be shared more widely as they are published.

Within this year, Grampian also commenced HoC work, building on a firm self management foundation and committing local resource to developing a HoC approach across their primary care transformation programme.

HoC Adopters have continued to work to make care and support planning conversations routine for people living with long term conditions. Delivery of YoCP Training has continued with accreditation of local Trainers. A range of local learning and sustainability events were held along with a national Sustainability and Legacy session held in partnership with Adopters, BHF, ALLIANCE and YoCP.

Stories of Change

Dissemination of the HoC Learning Report has provided opportunities to develop understanding of care and support planning and how it is key in strengthening a more personalised approach in primary care. These stories of human connection about how elements of good, person centred care are emerging and embedding across the HoC Adopter network, have helped map out ways that CSP is supporting a person centred direction of travel. The Report has contributed to our learning about how to ensure that the voice of lived experience truly informs the transformation of health and social care services.

Looking Ahead

The HoC programme will continue to focus on developing and supporting the vision of health and social care integration through care and support planning that is underpinned by the principles of self management and coproduction. Key drivers will be: building the case for change; working alongside clusters and quality leads; and aligning with guidance on workforce responsibilities in supporting people with long term conditions in the new GP contract.

HoC will join with the Third Sector Integration Team and Self Management programmes to form the ALLIANCE’s Self Management and Co-production Hub. These programmes share common themes focused around the principles of co-production and people as partners in their own care and support. The flexibility and critical mass created by the Hub will benefit stakeholders by supporting the wider social movement required to pick up the momentum and adoption of integration, self management, care and support planning, and co-production within HSCPs and Health Boards.

End of page.