Post on 19-Jan-2017
NICE Collaborating Centre for Social Care
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“Just one person”: Genuine care coordination for older people
Doris RichardsGerry Nosowska
November 2016
The NCCSC is a collaboration led by SCIE
NICE Collaborating Centre for Social Care
AgendaSession Content
Context Why this matters
The NICE Guideline What the evidence points to
What genuine care coordination looks like What older people want
The future What we can do to get closer to “just one person”
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NICE Collaborating Centre for Social Care
Webinar objectivesThis webinar will support you to:• Learn from older people’s experiences of
social care and health• Understand the evidence behind the NICE
recommendations for care coordination• Explore how to make “just one person”
possible in the current context• Identify actions to improve older people’s
experiences
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NICE Collaborating Centre for Social Care
The Context
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› The health and social care system› Diversity of staff› Diversity of older people› Social context
NICE Collaborating Centre for Social Care
The Context
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Maybe, if we had a single system across health and social care, and a real respect for older people, we wouldn’t need to introduce care coordination.
What do you think?
NICE Collaborating Centre for Social Care
The NICE Guideline
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Guideline recommendations › 1.1 Identifying and assessing social care needs › 1.2 Care planning › 1.3 Supporting carers › 1.4 Integrating health and social care planning › 1.5 Delivering care › 1.6 Preventing social isolation › 1.7 Training health and social care practitioners
NICE Collaborating Centre for Social Care
Single care coordinator
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A single, named care coordinator› Recording needs › Agreeing a plan› Reviewing information needs› Gathering information about medication
Responsibility for:› Engagement› Information› Contingency planning and continuity of care
NICE Collaborating Centre for Social Care
The recommendation
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We need genuine care coordination because older people want this and the system should work for them.
What do you think?
NICE Collaborating Centre for Social Care
What genuine care coordination looks like
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“There is no-one there” v. “There is someone there”› Someone I can trust› Who is helpful› And easy for me to find
NICE Collaborating Centre for Social Care
What genuine care coordination looks like
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“There is no-one there” v. “There is someone there”› When I enter the system› When I am in the system› When I leave the system› When I come back to the system
NICE Collaborating Centre for Social Care
What genuine care coordination looks like
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“There is no-one there” v. “There is someone there”› The older person or carer/ informal representative
plus advocate› People with lived experience› People from the system
NICE Collaborating Centre for Social Care
What genuine care coordination looks like
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What examples do you have?
NICE Collaborating Centre for Social Care
The future – how do we get closer to genuine care coordination?
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Value older people’s experience
Be a trusted ‘someone’› Patience› Empathy› Sense of humour› Sound judgement› An open mind› Flexibility› Tact
NICE Collaborating Centre for Social Care
The future – how do we get closer to genuine care coordination?
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Be a helpful ‘someone’› A good listener and advocate› Understand the importance of contact and keeping
in touch› Respect the full history of each individual› Work well with others› Be able to make changes› Recognise the importance of equality and diversity
NICE Collaborating Centre for Social Care
The future – how do we get closer to genuine care coordination?
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Join things up› Our own connections› Our support for care coordinators› Developing care coordination
NICE Collaborating Centre for Social Care
The future – how do we get closer to genuine care coordination?
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Genuine care coordination can grow if we attend to our behaviours, support existing efforts, and look for opportunities.
What can you do?
NICE Collaborating Centre for Social CareFurther reading
https://nice.org.uk/guidance/ng22https://www.nice.org.uk/guidance/ng22/resources RiPfA resources that are useful include:• http://gsw.ripfa.org.uk/• http://carers.ripfa.org.uk/• Front-line and strategic briefings on
Integration• Good assessment handbook
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NICE Collaborating Centre for Social CareContact
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https://www.ripfa.org.uk
help@ripfa.org.uk
@ripfa