Person Centred Outcomes
Person Centred Outcomes: Understanding what really
"Personalised care will only happen when statutory services
recognise that patients' own life goals are what really
Person centred care re-thinks the relationship between people
and the services that provide health and care. Person Centred
Outcomes begin to rethink the wider context of a person's life,
within which health and care has a role.
The person-centred outcomes programme of work is ultimately
about achieving the best possible (optimum) outcomes for
individuals (patients, carers and citizens), understanding and
modelling this at a population level and thereby leveraging
influence within the overall system to ensure best use of
Person Centred Outcomes have an impact at four levels for
- Individual - enabling a person to receive support to meet their
personalised goals and ambitions;
- The service provider - enabling the service (where appropriate)
to be stylised for and or designed around the individual and their
- The commissioner - to understand how to stimulate and support
services to meet personal goals and the needs of local
- The wider system - to appreciate and understand the
inter-dependencies of health and care, housing, education,
employment and other factors that contribute to quality of life
The aim of NHS Improving Quality's Person Centred Outcomes
programme is to:
- Influence the way health care and other system-level services
are aligned, commissioned and delivered to effectively meet
person-centred outcomes at optimal cost.
The programme is organised into four work streams:
Work stream one
Person Centred Outcomes: Mapping what really matters -
understanding what measures, metrics, indicators, outcomes, tools
and approaches are already available, in use and what the gaps are.
This will focus upon health and care, but will also extend into
other relevant and related areas such as housing, employment,
Work stream two
Person Centred Outcomes: Modelling what really matters - based
on current outcomes thinking and underpinned by a comprehensive
understanding of what the priorities and preferences are for
patients, carers and citizens, an operating model / approach will
be produced for testing.
Work stream three
Person Centred Outcomes: Measuring what really matters - based
on an in depth analysis of what already exists and how it can be
used, a measurement architecture will be defined to determine the
drivers for and determinants of person-centred outcomes.
Work stream four
Person Centred Outcomes - Mechanisms for commissioning - to
begin to explore ways to commission and incentivise new ways of
designing and delivering services within the wider system. This may
include consideration of support to enable behaviour change to
realise rather than just aspire to person-centred outcomes.
The "Five Year Forward View" sets out how the health service
needs to change, arguing for a more engaged relationship with
patients, carers and citizens so that we can promote wellbeing and
prevent ill-health. Person-centred outcomes is an opportunity to
drive and support change to improve outcomes and the quality of
life for patients, carers and citizens.
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