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Commissioning in Context: supporting people and personal needs

Commissioning in Context: supporting people and personal needs. Alan Sinclair JIT,Dunblane,21 September 2011. Buurtzog- Community Care. get to know each person’s history and coping strategy meet the family and see how they feel talk to the doctor and others who supply a service

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Commissioning in Context: supporting people and personal needs

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  1. Commissioning in Context:supporting people and personal needs Alan Sinclair JIT,Dunblane,21 September 2011

  2. Buurtzog- Community Care • get to know each person’s history and coping strategy • meet the family and see how they feel • talk to the doctor and others who supply a service • ask what can the nurse do, what can the family do and what the person can do • work out a way to withdraw or reduce hours of contact Now 3200 community nurses across country in 300 teams, great IT and only 30 not on front line and still growing.

  3. Volunteering • WRVS has 6,000 people a day in hospitals, driving people to appointments, providing meals and befriending • Caring relationship tickets in Japan- local and national government have set up a nationwide electronic clearing network • People who start volunteering before they give up work are more likely to volunteer once they retire

  4. Personalisation • In Control, assessments and advising, mission: …everyone needing additional support has the right, responsibility and freedom to control that support. • Enable and others changing their business model from contracting to personalised care.

  5. Feedback Loops • Break Through Breast Cancer: agree with hospital a standard of care, trained volunteers engage with people who have the cancer to form a view on their experience-results tactfully fed back. • Opportunity for other conditions andat a population level, measure met and unmet need linked to a quality of life survey… should be complemented by a survey of the family and friends of people who have died.

  6. Hospices and death • 13 hospices in Scotland, all run by charities, on average, they cost about £3m a year to run, with just over half charitable fundraising the rest from NHS Boards. • Can third sector help with a public conversation about dying. For example through consultation, create a charter for dying.

  7. Forward march – a new balance • The state has to intervene and reorganise its affairs, encouraging collaboration between health and care to meet the needs of older people with multiple conditions. • Another side to the picture is that we all need to do more to look after ourselves and others as we age… self help, mutual help, getting on with life, friends and family or reinvigorating a sense of neighbourliness.

  8. How can we strengthen and mobalise people in the community? • What mind set do we have when it comes to working with the third sector? • In our forward march, what are the benefits of working with the third sector? What can it contribute? • Can the third sector deliver? What would you like it to deliver?

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