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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 .

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

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.