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Karen Middleton: NHS England guides are ‘blueprints’ for transforming long-term care

29 January 2015 - 9:00am

CSP chief executive Karen Middleton has described a set of NHS England handbooks as ‘blueprints for transforming the way we support people with long-term conditions’.


Karen Middleton: 'More than a quarter of people in England at least one long-term condition but just five per cent have a personalised plan.'

The guides, published on 21 January and available on NHS England’s website, are intended to provide practical support and guidance on the good management of long-term conditions.

According to NHS England they draw on the latest research, best practice and case studies to show how this can be done.

They cover three key areas:

  • identifying people with long-term conditions who are most vulnerable and at risk of unplanned hospital admissions
  • planning personalised care and support
  • best-practice multidisciplinary working across professional and organisational boundaries

Ms Middleton said: ‘As the guides point out, more than a quarter of people in England alone have at least one long-term condition, but just five per cent have a personalised plan.

‘This shows how far we have to go to provide care genuinely built around an individual’s needs, rather than imposed on them by existing structures.’

One of the guides is the Personalised care and support planning handbook. It says that personalised care needs changes in systems, relationships, skills and services. This whole-system change requires time and planning.

The multidisciplinary team development guide says research demonstrates that having a designated care coordinator or case manager is key to delivering integrated care.

‘Physiotherapy staff have the skills, expertise and approach to make a real difference to people’s care in this way,’ said Ms Middleton.

‘Where possible, members should be speaking to commissioners to make this clear and ensure they are central to future models of care.’

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