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Background

There is now widespread recognition that care provided by the NHS, social services and other associated community services should strive to be more person-centred i.e. both centred around and responsive to the needs of the individual. For this to be achieved effectively, services need to be better co-ordinated and, in some circumstances, integrated fully. Person-Centred Coordinated Care (P3C) is perceived as a way of achieving better outcomes for patients and improved efficiency for health and care economies. We have defined person-centred and coordinated care as:
‘Care that is guided by and organised effectively around the needs and preferences of the individual’
Read more about the project on the .

Who is involved?

Aim

This programme combines the following activities, contributing to both local service improvement and international knowledge:

  • reviews of literature, including evidence synthesis to build practical theory about how to provide and implement P3C
  • support for bottom up service redesign and implementation
  • evaluation of system redesign and new services.

Person-centred and coordinated care

Work so far

Some of the P3C development and evaluation projects we have been involved with:
(PDF): Evaluating the impact of replacing the Quality Outcomes Framework with the Somerset Practice Quality Scheme on Quality of Care in Primary Service Providers.
(PDF): An evaluation of the Integrated Care Exeter Social Prescribing project to assess the impact of social prescribing on patient reported outcomes.
(PDF): Evaluation of the Southwest Integrated Personal Commissioning intervention on Quality of Life, Quality of Care and P3C.
(PDF): An evaluation of the impact of three different care hubs on experiences of person centred care.
(PDF): An evaluation of an Older Persons Hub to identify barriers and facilitators to implementation and develop an embedded internal monitoring process.
(PDF): A researcher-in-residence programme examining how integrated care increases experiences and outcomes in multimorbid patients. 

Resources

We have developed the first free and openly-available comprehensive data resource for international measures relating to patient experience and person centred care. This provides a ‘one-stop’ website for commissioners, health managers, researchers and others.
If you would like to use any of our measures please register and complete our user agreement form . We are happy for these to be used for research and service development and would welcome the opportunity to discuss this with you further.
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News

Others involved

Partners 

  • (SW AHSN) 
  • South Devon and Torbay CCG
  • Mendip Collaboration
  • : South Somerset: Federation of GPs
  • Taunton LIG 
  • Integrated Care Exeter
This research is supported by the .

Related publications

Lloyd, H., Fosh, B., Byng, R., Whalley, B., and Close, J. (2018). Enhancing Person Centred Coordinated Care for People with Long term Conditions: Development and Validation of the Person Centred Coordinated Care Experience Questionnaire (P3CEQ). International Journal for Quality in Healthcare. [In Press].

Close, J., Byng, R., Valderas, J., Britten, N., and Lloyd, H. (2018). Quality after the Quality Outcomes Framework (QOF) British Journal of General Practice. Invited Editorial.

Lloyd, H., et al (2018). . Journal of Medical Internet Research (JMIR). 14.02.18 in .

Sugavanam, P., Close, J., Fosh, B., Byng, R., and Lloyd, H (2018). . Journal of Patient Experience.

Lloyd, H., Britten, N., Sheaff, R., and Byng, R. (2017). . Journal of Health Research Policy & Systems: 15.

Close, J., and Lloyd, H., et al. . BMJ Letter. December 2017.

Horrell, J., Lloyd, H., Close, J., and Byng, R. (2017). : The Development of the Organisational Change Tool. Health Expectations. First published 15 November 2017.

Bramwell C, Don RM, Porter I, Lloyd H, Kadam U, Rijken M, et al.(2016) : policy and practices with a focus on England and Scotland. Factsheet ICARE4EU; 2017.

Britten N, Moore L, Lydahl D, Naldemirci O, Elam M, Wolf A. . Health Expectations 2016.

Sheaff R, Halliday J, Ovretveit J, Byng R, Exworthy M, Peckham S, Asthana S. . Health Services and Delivery Research 2015; 3(35)

Heaton J, Britten N, Krska J, Reeve J.  Primary Health Care Research and Development 2016; 18(1)

Naldemirci O, Lydahl D, Britten N, Elam M, Moore L, Wolf A. . Health 2016

Moore L, Britten N, Lydahl D, Naldemirci O, Elam M, Wolf A. . Scandinavian Journal of Caring Science 2016

Sheaff R, Halliday J, Byng R, Ovretveit J, Exworthy M, Peckham S, Asthana S.  Sociology of Health and Illness 2017.

Downloads 

This study is supported by the Peninsula Clinical Trials Unit (PenCTU) and the .