House of Care Review of 2019

Our House of Care Team review activities over 2019 for our annual report.

Scotland’s House of Care continues to support people living with long term conditions be in the driving seat of their care and support. This person centred approach is now practiced in 10% of General Practice teams in Scotland and is this is set to rise.

The key aim of the House of Care (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 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 providing the overarching framing narrative.

Throughout 2019 the programme has worked to consolidate existing practice, further develop collaborative alliances, and secure resource to support the spread and sustainability within adopter sites.

The ALLIANCE has continued to contribute to the implementation programme in the original six Adopter sites in Scotland while supporting its introduction in two new sites. During 2019, the Clinical Lead and Year of Care delivered CSP to general practice teams in NHS Highland and NHS Western Isles. They join GP practices in Greater Glasgow and Clyde, Lothian, Ayrshire and Arran, Lanarkshire and Grampian by adopting House of Care to make care and support planning conversations routine for people living with long term conditions. The ALLIANCE hosted a More than Medicine Learning event for Third Sector organisations in Highland therefore reinforcing the key role they play in supporting people with long term conditions. A similar event is planned for Western Isles in 2020.

In November the ALLIANCE, in partnership with NHS Education Scotland, planned and delivered a More than Medicine event for Primary Care teams from across Scotland. This was very well received and gave an opportunity to share the work of the ALISS, Self Management and Links Workers programmes with a wide audience.

House of Care featured in an ALLIANCE Live webinar (this link will take you away from our website) in November; the HoC Grampian team shared their journey to date. Building on a firm foundation of self management and a committed local resource, Grampian continues to embed House of care across their primary care transformation programme.

The HoC programme has demonstrated its effectiveness in supporting a more person-centred approach to delivering primary care. In order to build on the existing evidence base, the ALLIANCE has commissioned Matter of Focus to evaluate the Programme to date. Following a launch event in December the Adopter sites, Year of Care, the Clinical Lead and the ALLIANCE are working together to produce a robust report detailing how well we have worked together, the benefits of the House of care approach to healthcare professionals and most importantly, the difference we make to the lives of people living with one or more long term conditions.

Looking ahead into 2020, our focus will be on the further spread and sustainably of care and support planning using the House of Care framework. By building on our existing positive relationships with NHS Education Scotland and Healthcare Improvement Scotland, the House of Care Programme, will play a significant role in ensuring that all people living with a long term condition are in the driving seat of their care and support. 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.

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