House of Care Review of 2018

Section: Health and Social Care IntegrationSelf Management and Co-Production HubType: News Item Date Published: 7th January 2019

Our House of Care Team review activities over 2018 for our annual report.

Reflecting on 2018

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.


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 six Adopter sites in Scotland, working in partnership with Lothian/Thistle Foundation, Greater Glasgow and Clyde, Tayside, Ayrshire & Arran, Lanarkshire and Grampian; the Year of Care Partnerships (YoCP); and The British Heart Foundation (BHF).

The three-year BHF programme concluded across three adopter sites; Lothian/Thistle Foundation, Greater Glasgow and Clyde and Tayside and a further two in England. The final legacy report (this link will take you away from our website) was launched at an event in York in October. The ALLIANCE published additional material to support the report on its website – an opinion piece by Dr Graham Kramer and a response piece.

Within this year, Grampian also embedded HoC work, building on a firm self management foundation with committed 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.

These included the new More than Medicine events, which invite the local third sector into a GP Practice or Cluster to present on the services they offer in the local area. The first such event was held in Renfrewshire in partnership with Greater Glasgow and Clyde and Engage Renfrewshire. A further event was held in Fochabers in Moray in partnership with tsi MORAY. More such events will be held throughout the coming year.

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 has joined 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.

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