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NICE Collaborating Centre for Social Care 1 “Just one person”: Genuine care coordination for older people Doris Richards Gerry Nosowska November 2016 The NCCSC is a collaboration led by SCIE

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Page 1: Just one“Just one person”: Genuine care coordination for older people person webinar final

NICE Collaborating Centre for Social Care

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“Just one person”: Genuine care coordination for older people

Doris RichardsGerry Nosowska

November 2016

The NCCSC is a collaboration led by SCIE

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NICE Collaborating Centre for Social Care

AgendaSession Content

Context Why this matters

The NICE Guideline What the evidence points to

What genuine care coordination looks like What older people want

The future What we can do to get closer to “just one person”

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Page 3: Just one“Just one person”: Genuine care coordination for older people person webinar final

NICE Collaborating Centre for Social Care

Webinar objectivesThis webinar will support you to:• Learn from older people’s experiences of

social care and health• Understand the evidence behind the NICE

recommendations for care coordination• Explore how to make “just one person”

possible in the current context• Identify actions to improve older people’s

experiences

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NICE Collaborating Centre for Social Care

The Context

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› The health and social care system› Diversity of staff› Diversity of older people› Social context

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NICE Collaborating Centre for Social Care

The Context

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Maybe, if we had a single system across health and social care, and a real respect for older people, we wouldn’t need to introduce care coordination.

What do you think?

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NICE Collaborating Centre for Social Care

The NICE Guideline

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Guideline recommendations › 1.1 Identifying and assessing social care needs › 1.2 Care planning › 1.3 Supporting carers › 1.4 Integrating health and social care planning › 1.5 Delivering care › 1.6 Preventing social isolation › 1.7 Training health and social care practitioners

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NICE Collaborating Centre for Social Care

Single care coordinator

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A single, named care coordinator› Recording needs › Agreeing a plan› Reviewing information needs› Gathering information about medication

Responsibility for:› Engagement› Information› Contingency planning and continuity of care

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NICE Collaborating Centre for Social Care

The recommendation

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We need genuine care coordination because older people want this and the system should work for them.

What do you think?

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NICE Collaborating Centre for Social Care

What genuine care coordination looks like

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“There is no-one there” v. “There is someone there”› Someone I can trust› Who is helpful› And easy for me to find

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NICE Collaborating Centre for Social Care

What genuine care coordination looks like

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“There is no-one there” v. “There is someone there”› When I enter the system› When I am in the system› When I leave the system› When I come back to the system

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NICE Collaborating Centre for Social Care

What genuine care coordination looks like

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“There is no-one there” v. “There is someone there”› The older person or carer/ informal representative

plus advocate› People with lived experience› People from the system

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NICE Collaborating Centre for Social Care

What genuine care coordination looks like

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What examples do you have?

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NICE Collaborating Centre for Social Care

The future – how do we get closer to genuine care coordination?

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Value older people’s experience

Be a trusted ‘someone’› Patience› Empathy› Sense of humour› Sound judgement› An open mind› Flexibility› Tact

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NICE Collaborating Centre for Social Care

The future – how do we get closer to genuine care coordination?

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Be a helpful ‘someone’› A good listener and advocate› Understand the importance of contact and keeping

in touch› Respect the full history of each individual› Work well with others› Be able to make changes› Recognise the importance of equality and diversity

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NICE Collaborating Centre for Social Care

The future – how do we get closer to genuine care coordination?

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Join things up› Our own connections› Our support for care coordinators› Developing care coordination

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NICE Collaborating Centre for Social Care

The future – how do we get closer to genuine care coordination?

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Genuine care coordination can grow if we attend to our behaviours, support existing efforts, and look for opportunities.

What can you do?

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NICE Collaborating Centre for Social CareFurther reading

https://nice.org.uk/guidance/ng22https://www.nice.org.uk/guidance/ng22/resources RiPfA resources that are useful include:• http://gsw.ripfa.org.uk/• http://carers.ripfa.org.uk/• Front-line and strategic briefings on

Integration• Good assessment handbook

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NICE Collaborating Centre for Social CareContact

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https://www.ripfa.org.uk

[email protected]

@ripfa