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Person Centred Outcomes

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 Person Centred Outcomes: Understanding what really matters.

"Personalised care will only happen when statutory services recognise that patients' own life goals are what really count."  
National Voices

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 resources.

Person Centred Outcomes have an impact at four levels for the:

  • 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 preferences;
  • The commissioner - to understand how to stimulate and support services to meet personal goals and the needs of local communities;
  • 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 outcomes.

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, etc.

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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