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The Handy Approach – Quick Integrated Person Centred Support Preparation

Cost effective care requires comprehensive person-centred formulation of solutions. The East London NHS Foundation Trust Community Health Services in Newham have piloted models of Integrated Care called ‘Virtual Wards’ which aim to keep people living with multiple long-term conditions, well at home...

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Autores principales: Risi, Liliana, Brown, Juliette, Sugarhood, Paul, Depala, Babalal, Olowosoyo, Abi, Tomu, Cynthia, Gonzalez, Lorena, Munoz-Cobo, Maloles, Adekunle, Oladimeji, Ogwal, Okumu, Evans, Eirlys, Shah, Amar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483530/
https://www.ncbi.nlm.nih.gov/pubmed/28674610
http://dx.doi.org/10.1136/bmjquality.u214461.w5681
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author Risi, Liliana
Brown, Juliette
Sugarhood, Paul
Depala, Babalal
Olowosoyo, Abi
Tomu, Cynthia
Gonzalez, Lorena
Munoz-Cobo, Maloles
Adekunle, Oladimeji
Ogwal, Okumu
Evans, Eirlys
Shah, Amar
author_facet Risi, Liliana
Brown, Juliette
Sugarhood, Paul
Depala, Babalal
Olowosoyo, Abi
Tomu, Cynthia
Gonzalez, Lorena
Munoz-Cobo, Maloles
Adekunle, Oladimeji
Ogwal, Okumu
Evans, Eirlys
Shah, Amar
author_sort Risi, Liliana
collection PubMed
description Cost effective care requires comprehensive person-centred formulation of solutions. The East London NHS Foundation Trust Community Health Services in Newham have piloted models of Integrated Care called ‘Virtual Wards’ which aim to keep people living with multiple long-term conditions, well at home by minimising system complexity. These Virtual Wards comprise Interdisciplinary Teams (IDTs) with a General Practitioner (GP) seconded to provide leadership. Historically assessments have been dominated by biomedical approaches with disability emphasised over personal aspirations and ability. New professional skills are needed to organise information from diverse approaches into a common framework, which can enable agreed goals of care to be delivered collaboratively. From June 2014 to January 2016 we aimed to improve the documentation of person-centred goals of care in 100% of our assessments. Change ideas were tested and team development addressed to improve documentation of aspirations for care for people being referred and if achieved, then to test ideas to improve coproduction of care. Change ideas included Enhanced Clinical Supervision (ECS) by a GP with additional expert skills; Flash Teaching (FT) defined as five-minute weekly discussion on topics generated from the case-mix to develop a shared understanding of Integrated Care; Structured Formulation using a novel, quick, integrated assessment framework called the Handy Approach (HA) with the hand as a memory prompt to bring the personal together with the mental, social and physical domains and finally we tested focusing on ‘Team Primacy’ (mutual regard within the team) to embed behaviour change. 181 cases were tracked and documentation of personal aspirations for care by case showed: ECS 0/21 (0%); FT 5/50 (10%); ECS/FT plus the HA 35/83 (42%); Team Primacy plus ECS/FT/HA 27/27 (100%). By January 2016 prompted by using the Handy Approach in a highly functional team, all members of the IDT consistently documented personal aspirations.
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spelling pubmed-54835302017-07-03 The Handy Approach – Quick Integrated Person Centred Support Preparation Risi, Liliana Brown, Juliette Sugarhood, Paul Depala, Babalal Olowosoyo, Abi Tomu, Cynthia Gonzalez, Lorena Munoz-Cobo, Maloles Adekunle, Oladimeji Ogwal, Okumu Evans, Eirlys Shah, Amar BMJ Qual Improv Rep BMJ Quality Improvement Programme Cost effective care requires comprehensive person-centred formulation of solutions. The East London NHS Foundation Trust Community Health Services in Newham have piloted models of Integrated Care called ‘Virtual Wards’ which aim to keep people living with multiple long-term conditions, well at home by minimising system complexity. These Virtual Wards comprise Interdisciplinary Teams (IDTs) with a General Practitioner (GP) seconded to provide leadership. Historically assessments have been dominated by biomedical approaches with disability emphasised over personal aspirations and ability. New professional skills are needed to organise information from diverse approaches into a common framework, which can enable agreed goals of care to be delivered collaboratively. From June 2014 to January 2016 we aimed to improve the documentation of person-centred goals of care in 100% of our assessments. Change ideas were tested and team development addressed to improve documentation of aspirations for care for people being referred and if achieved, then to test ideas to improve coproduction of care. Change ideas included Enhanced Clinical Supervision (ECS) by a GP with additional expert skills; Flash Teaching (FT) defined as five-minute weekly discussion on topics generated from the case-mix to develop a shared understanding of Integrated Care; Structured Formulation using a novel, quick, integrated assessment framework called the Handy Approach (HA) with the hand as a memory prompt to bring the personal together with the mental, social and physical domains and finally we tested focusing on ‘Team Primacy’ (mutual regard within the team) to embed behaviour change. 181 cases were tracked and documentation of personal aspirations for care by case showed: ECS 0/21 (0%); FT 5/50 (10%); ECS/FT plus the HA 35/83 (42%); Team Primacy plus ECS/FT/HA 27/27 (100%). By January 2016 prompted by using the Handy Approach in a highly functional team, all members of the IDT consistently documented personal aspirations. British Publishing Group 2017-06-07 /pmc/articles/PMC5483530/ /pubmed/28674610 http://dx.doi.org/10.1136/bmjquality.u214461.w5681 Text en © 2017, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Risi, Liliana
Brown, Juliette
Sugarhood, Paul
Depala, Babalal
Olowosoyo, Abi
Tomu, Cynthia
Gonzalez, Lorena
Munoz-Cobo, Maloles
Adekunle, Oladimeji
Ogwal, Okumu
Evans, Eirlys
Shah, Amar
The Handy Approach – Quick Integrated Person Centred Support Preparation
title The Handy Approach – Quick Integrated Person Centred Support Preparation
title_full The Handy Approach – Quick Integrated Person Centred Support Preparation
title_fullStr The Handy Approach – Quick Integrated Person Centred Support Preparation
title_full_unstemmed The Handy Approach – Quick Integrated Person Centred Support Preparation
title_short The Handy Approach – Quick Integrated Person Centred Support Preparation
title_sort handy approach – quick integrated person centred support preparation
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483530/
https://www.ncbi.nlm.nih.gov/pubmed/28674610
http://dx.doi.org/10.1136/bmjquality.u214461.w5681
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