Tips for Personalising Care

Tips for Personalising Care

The aim of personalised or person-centred care is to understand what matters most to the individual, and how they want to be supported and treated by those caring for them.

TIP ONE: ITS ALL ABOUT THE CONVERSATION

The conversation should help you both to understand what the individual wants to achieve overall, and in that vein, what they want to get our of your time together.

Its an opportunity to identify what really matters to them and what they think is a good outcome- this will vary from individual to individual . Think holistically (beyond the gut) and not just medically. This will include mental well-being, fatigue, pain, extra intestinal manifestations and issues such as housing and employment. Focus on staying well and living well. In understanding their motivation, you will be able to navigate, together, how to move from goal setting to action.

TIP TWO: PREPARATION, PREPARATION, PREPARATION.

Are there processes that you and your colleagues can put in place to make delivering more personalised care easier?

  • Resources such as the Appointments Guide and the personalised care and support plan template can support patients to plan conversations before appointments with helpful prompts and tips.
  • Is patient information available and easily accessible – both digitally and face to face- in a variety of formats and literacy levels?
  • Does your team have strategies in place to help you to identify and engage with patients with low levels of patient activation?
  • Has your service considered including care planning as a learning topic in your local education and self-management programmes?

TOP FOUR: MAKE A PLAN TOGETHER

Having a personalised care and support plan will help you to deliver the individual's long term goals, taking into account their preferences and strengths.

When developing a solution talk through all possible options and support the person to understand the pros and cons, ‘but don’t feel limited to just the obvious or sensible ones’ . It’s important that the solution is appropriate for them. Think about how you might support the person to prioritise their concerns and possible solutions.

Be clear about aspects of the plan the patient will act on and what you are responsible for. Your plan will communicate to the patient and others involved in their care how you are all going to co-ordinate and work with other teams, such as primary care colleagues, to deliver a good outcome for your patient.

Use a care planning template to record the conversation and include it as part of the person’s health and/or social care records, owned by the person and shared, with explicit consent with the relevant members of the MDT.

National Voices I-Statements

TOP FIVE: REVIEW

Use every contact to check how they are getting on:

  • How do they feel?
  • Do any changes need to be made to their plan?
  • Is there anything that has been agreed that hasn’t happened?
  • If things haven't progressed, why? Together reflect on whether the support/information given was the right kind?

Want to share you own tips and examples of best practice?

Share them by emailing ibduk@ibd.org or tweet them using the hashtag #ibduk