The following ideas resulted from an email conversation about care planning. The discussion included some ideas about practitioners dancing with people rather than dictating the care planning conversation. The focus of the House of Care is the collaborative care planning conversation at the centre. Graham Kramer (a GP and self-confessed dad-dancer) reflects on his own experience of care planning conversations:
“I’m drawn to Year of Care’s metaphor of Care and Support Planning (CSP) being a dance. The outcome is hugely dependent on the confidence, skills etc. of each individual and their ability to interact. The more they practice together the better they will be, however skillful one is it will be held back by the lesser skills of the other. Each needs to help and support each other to bring out the best of the double act.
I see the pre-consultation sharing of results very much akin to giving the patient some choreographic notes beforehand. It will help a little but measuring its impact on the overall dance performance will probably prove disappointing and irrelevant. There is a need to measure the dance performance in the context of all the other elements (including lights, music, dance shoes, sequins etc). Some of our patients will be Jill Halfpennys but many will be John Sergeants. More importantly most of their professional dance partners have, up until now, been skilled in a different technical dance paradigm and are needing to learn Ballroom!
Occasionally I’m like Anton du Beke… but all too often relapse into (paternalistic) Dad dancing!”
But seriously – let’s make a step-change and transform every care planning conversation into a harmonious waltz or a foxtrot.
Graham has made the House of Care team aware of an interesting study that looks at the impact of personalised care planning for people with long-term conditions. They analysed the effect of personalised care planning by working with over 10,000 people with a variety of long-term conditions from diabetes to asthma to mental health conditions.
The conclusion was made that: “Personalised care planning leads to improvements in certain indicators of physical and psychological health status, and people’s capability to self-manage their condition when compared to usual care.” And it goes on to confirm that the effects “appear greater when the intervention is more comprehensive, more intensive, and better integrated into routine care.”
My name is Mhari Martin and I am delighted to be the latest addition to the House of Care team at The Health and Social Care Alliance Scotland. I am taking on the role of Evaluation and Policy Assistant and will be working alongside a talented group of individuals to implement a more person-centred approach to health and social care in Scotland. For more information about the project please see http://www.alliance-scotland.org.uk/what-we-do/projects/scotlands-house-of-care/
I have recently graduated in International Relations from St. Andrews University where I focused on human rights. I have also spent time studying Public Policy at Brown University, in the US.
I am keen to enable individuals with long term health conditions to be more involved in managing their condition and treatment. Married to a type one diabetic, I really appreciate the importance of self-management and of empowering people to achieve the best quality of life possible. I am excited to be participating in a project that could make a real difference.
With three successful early adopter sites already under way, I am looking forward to being part of the team that takes House of Care even further.