Integrated
Personal
Commissioning
The NHS getting serious
about personalisation
30th October 2014
NHS Five Year Forward View:
• “we have not fully harnessed the renewable energy represented
by patients and communities”
• “As the patients’ organisation National Voices puts it:
personalised care will only happen when statutory services
recognise that patients’ own life goals are what count; that
services need to support families, carers and communities; that
promoting wellbeing and independence need to be the key
outcomes of care; and that patients, their families and carers are
often ‘experts by experience’.”
• As well as care plans and voluntary sector advocacy and
support, IPC will provide an integrated, “year of care” budget that
will be managed by people themselves or on their behalf by
councils, the NHS or a voluntary organisation.
Why?
• People with complex needs and their carers have
better quality of life and can achieve the outcomes
that are important to them and their families
• Prevention of crises in peoples’ lives that lead to
unplanned hospital and institutional care
• Better integration and quality of care
How?
Principles
• Keep focused on what matters to people and families
• Co-production locally and nationally
• Build partnerships
• Local: NHS, local authority and voluntary sector playing
a key role, plus providers, local people and families
• National: NHS England. LGA, ADASS and Think Local
Act Personal, plus strong involvement of providers,
voluntary sector, and people with direct experience
• Be flexible and creative – but within a common framework
for both care and financial models
Person-centred care – common framework
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Person-centred care and support planning: Access to support to enable
people to develop a plan which covers all aspects of life, not just health and
care needs. Focus on what matters to person and their family
Personal health and social care budgets : People can have control over
part of their budget, including the option of a direct payment.
Information, support, advice and advocacy: Access to good information
support, advice and advocacy from a range of sources.. No one should be
excluded from the opportunity to take part because of their background.
Peer support: Making the most of peer support, developing social capital,
supporting carers and investing in the local voluntary sector and community
groups.
“More than Medicine”: Recognition that health is so much more than
medical treatment, social prescribing, developing social capital and
investing in the local voluntary sector and community groups
6
IPC Finance Model
Why do we need a new finance model for IPC?
Bring together costs of primary, mental, community, social and acute
care for individuals
The definition of what is in and out of a service scope for IPC is (at this
stage) for local definition)
In the selection of scope work will need to be done to support the
reasonableness of an IPC programme to drive the desired benefits
whilst ensuring that this definition does not leave undue or
disproportionate operational or financial risk in other parts of the
system.
Contract on the basis of a price per person (capitation), based on level
of need, e.g.
• £X a year for someone 65-75 with 1 LTC;
• £5X a year for someone who is over 75 with dementia and 2 other
LTCs.
Next steps
• Applications from across Health, Social Care and
Voluntary sector to be in by 7th November, need to be
rooted in co-production
• Approximately 10 demonstrator sites to work over the
next 3 years to implement and evaluate the model
• A wider programme to work with all who want to,
create learning networks, and disseminate helpful
learning