IMPROVING CARE FOR PEOPLE WITH LONG （改善照顾的人长）.pdfVIP

IMPROVING CARE FOR PEOPLE WITH LONG-TERM CONDITIONS A review of UK and international frameworks A review of UK and international frameworks A review of UK and international frameworks 1 HSMC FOREWORD In January 2005, the government launched a bespoke NHS and Social Care Model designed to help local health and social care organisations improve care for people with long-term conditions. This model builds on successes, experiences, and innovations in the UK and elsewhere and focuses on helping health and social care communities use the tools they already have to develop a targeted systematic approach to care for people with long-term conditions. The White Paper ‘Our Health, Our Care, Our Say: a new direction for community services,’ released in 2006, lays out the Government’s vision for community-based care. It builds upon broader public sector reforms, helping people to live more independently and to exercise greater personal choice. In order to achieve this, people will look for greater flexibility in service provision, improved accessibility, more timely interventions, a broader range of service providers from whom they can choose their care, and care closer to home with minimal disruption to their daily lives. This all requires a significant ‘shift’ in the way care is delivered, away from a reactive ‘one size fits all’ approach, often delivered in a hospital setting, towards a community based, responsive, adaptable, flexible service. This is far more than simply changing the location where care is delivered, and requires a significant whole system change. Not only do we need to support the shift in the location of delivery, but also the behavioural change of both service users and providers to deliver sustainable improvements in line with the White Pa