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The House of Care model based on the Chronic Care Model of Ed Wagner , and the Diabetes UK Year of Care project is useful for drawing together the building blocks of integrated care to include the essential elements of continuity :. The House of Care model is suitable for all people with long term conditions LTCs , not just those with single diseases or in high risk groups,.
There are at least three levels at which the House of Care modelcan be used:. Personal level: how the House of Care gives professionals on the front line a framework for what they need to do along with the people for whom they provide care and other providers, and ask local commissioners to secure for them i.
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This will need commissioners to decide on:. National level: what national organisations such as NHS England and its partners do to enable construction of the House of Care at the community and personal levels. Home Our work Living well, ageing well and tackling premature mortality Long term conditions House of Care — a framework for long term condition care The House of Care has been created out of a need to change the way we deal with long term conditions LTCs.
The House of Care approach provides such a model. The barriers to great care for people with long term conditions have been identified by a wide range of reports and reviews, and can best be summed up as failure to provide integrated care around the person: Single condition services: services dealing with single conditions only and adopting single condition guidelines with attendant dangers of polypharmacy, and excluding a holistic approach to service users.
Fragmented care: the healthcare system remaining within its own economy, and not being considered in a whole system approach with social care or other services important to people with long term conditions e. The House relies on four key interdependent components, all of which must be present for the goal, person-centred coordinated care, to be realised: Commissioning — which is not simply procurement but a system improvement process, the outcomes of each cycle informing the next one.
Engaged, informed individuals and carers — enabling individuals to self-manage and know how to access the services they need when and where they need them. Organisational and clinical processes — structured around the needs of patients and carers using the best evidence available, co-designed with service users where possible.