Coalition for Collaborative Care (C4CC) Newsletter - Issue 09
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Dear friends of C4CC, here is our latest newsletter which I hope you find interesting and useful.

At our recent C4CC meetings with partners and the co-production group we have been reflecting on our work so far and planning next steps.

You will remember that we organise ourselves around action to support local people, professionals, organisations and communities to embed “conversation, community and co-production” into how public services work and at national level to “create the conditions” to make this more possible.

We have started to support some of the Five Year Forward View demonstrator programmes and plan to extend this over the coming months. In addition we plan, in the new-year and alongside partners including Think Local Act Personal, to start to support and connect networks and groups working at regional levels who can make a difference on person-centred care and support.

In terms of “creating the conditions” we have published discussion papers on the “system levers” and workforce issues that need attention to make person-centred care and support more possible at local level. We welcome your views on these to shape our next steps.

On November 4th we held a workshop on workforce, with C4CC partners The Health Foundation and Health Education England. The workshop brought together national organisations and professional bodies to review current activity supporting a person and community-centred workforce and to identify necessary next steps action - watch out for more information about this on the website.

Best wishes,
Martin Routledge, C4CC Director
Unique Ethnographic Research Published by NHS IQ and Ipsos Mori

C4CC partner, NHS Improving Quality, has been working with the Ethnography Centre of Excellence to produce a series of videos exploring the lives of people living with multiple long-term conditions.

Results of the evaluation were recently published and key findings included:
- too often there is an absence of discussion about care and care needs, within the home and within the health care system
- people with more than one long term condition struggle to coordinate them all. They can feel there is no support linking all of their conditions or focus on them personally or holistically
- people greatly value the care and support they receive from the NHS and wider health and care sector.

These results will be used to co-design improvements in service delivery for people living with long term conditions, looking at what simple changes could be used to make the biggest differences to their lives. 

The evaluation heard the views of 36 patients, family members and carers in order to gain an insight into their experiences of living with and managing their long term conditions and the care they receive.

The evaluation resources, including five videos and a presentation detailing the findings, are available on the Ipsos Mori website hereFinal results will be published by Spring 2016.
National Diabetes Commissioning Assembly 2015

On Thursday 26 November, C4CC Director Martin Routledge will be chairing the National Diabetes Commissioning Assembly at BMA House, London.

The event will reflect on how the Five Year Forward View has impacted on the commissioning and delivery of Type 2 diabetes services in the NHS. Aimed at local commissioners and clinicians who are implementing new models of care, they will be provided with a platform to address the diabetes community, outline successes and challenges to date and listen to suggestions for improvement.

There is also a focus on addressing some of the financial challenges facing commissioners and clinicians with a particular emphasis on how multi-year budgets can drive improved outcomes for patients.

Speakers include Dr James Kingland OBE, President National Association of Primary Care and Richard Murray, Director of Policy, The King’s Fund.

The event begins at 9.30am on Thursday 26 November and runs until 3pm.

For more information please contact Ben Wheatley on 0207 054 9965 or
Getting Serious About Prevention

The National Council of Palliative Care has recently released a new report, titled ‘Getting Serious About Prevention’.
The report calls for action to prevent unnecessary and costly hospital stays at the end of life. It is intended to help commissioners as well as providers and contains key recommendations on how they can enable people to stay out of hospital at the end of life when they neither need nor want to be in hospital.
The report also contains examples of good practice where good planning and co-ordination enable people to be cared for out of hospital at the end of life, and examples from people with personal experience of end of life care.
For more information, and to download the report, click here.
New Guidance from NICE

The latest guidelines by the National Institute for Health and Care Excellence (NICE) have called for health and social care services to work together to ensure that people with multiple long-term conditions are involved in planning their own care.

The guidelines focus on older people - the group of people most likely to have several long-term conditions - and include recommendations for people who manage, commission and provide care for people with social care needs and multiple long-term conditions.

These include ensuring that person-centred care is being delivered and that each individual is being supported in a way that is respectful and promotes dignity and trust. 

Click here for more information on the guidelines and click here to download the guidance in full.
C4CC Workforce Discussion Paper

C4CC aims, through the actions of a strong partnership and growing movement of people and organisations, to make person-centred, community-centred care the norm for people living with long-term conditions. To do this, we are taking action to influence and support local systems and practice, and to create enabling conditions at a national level.

This discussion paper looks at a key element in achieving our vision: the people who are part of the health and social care workforce. Planning, developing and supporting an integrated workforce that routinely works in a person-centred, community-centred way is a complex and multi-faceted challenge. To make it easier to understand and respond to, we’ve broken it down into four areas:

• Mind-set challenges for person and community-centred care;
• The specific knowledge and skills that are needed;
• The importance of supportive working environments; and
• Capacity and roles: workforce planning.

This paper is intended to stimulate discussion. It briefly sets out some ideas on:

1. The context: what do we mean by person-centred, community-centred care?
2. The workforce challenge
3. What is needed to create change at the local and national levels?
4. What action might the C4CC partnership take?

This paper helped to form part of a discussion on workforce at a workshop held on Wednesday 4 November, with C4CC partners Health Foundation and Health Education England. An evaluation of the workshop will be published soon on our website.

If you have any feedback on the paper, please send any comments to by Monday 30 November 2015.
TLAP's Personalised Care and Support Planning Tool

Think Local, Act Personal (TLAP) has been seeking views on their latest online resource to support personalised care and support planning, which is a requirement cited in the Care Act and NHS Five Year Forward View.

Personalised care and support planning involves health, social care, voluntary sector professionals coming together with the person who uses services in a ‘meeting of experts’ to plan and deliver their support. 

The resource was developed to stimulate and inform service design and highlight some common principles that should underpin any local approach.

Feedback on this version has been positive – with comments from social workers, nurses, carers and voluntary sector leaders, but TLAP is keen to collect more responses to help tailor the content and inform future additions.
You can view the tool here and to provide feedback you can access their online survey here.
The Health Foundation Launches 'The Power of People'

C4CC partner, The Health Foundation, recently launched a series called 'The Power of People', featuring five short films looking at how the lives of people using health services and their families can be improved through the determined efforts of people working in healthcare.

The Power of People films represent different perspectives on innovative ways to provide care, which have changed the lives of people both receiving care and the people caring for them.

The first film in the series Pills: reviewing medication in care homes, was released on Friday 30 October, with each of the remaining films released every Friday over the next four weeks.

To learn more about The Power of People, click here.
What Are You Doing For Self Care Week?
Are you helping your patients to Self Care for Life as part of Self Care Week on 16 – 22 November 2015? 
The Self Care Forum is inviting organisations to share details of their activities for Self Care Week for the chance to be the first to receive the Self Care Week Award that comes with a £500 bursary prize. 
For further information or to share details of your campaign please contact  An abundance of Self Care Week material is freely available; including posters, leaflets and fact sheets on the website or join in on our twitter chat on Thursday 19 November at mid-day.See you @SelfCareForum #SCW2015. 
New Frameworks from Health Education England

Health Education England has recently launched two new education and career frameworks.

Their first is the new ‘District and General Practice Nursing Service, Education and Career Framework,’. This sets out the specialist knowledge and skills needed to deliver and advance in district nursing and general practice nursing. The Framework will underpin the shift from acute to primary and community care by setting out standardised roles and responsibilities, as well as provide practitioners with a career pathway.
The document contains frameworks for both district nursing and general practice nursing services and outlines the career pathways for both professions, while clearly setting out the key responsibilities and roles at each level of advancement.

Secondly, the new National Dementia Core Skills Education and Training Framework – developed by Skills for Health and Health Education England in partnership with Skills for Care – is a comprehensive new resource to support health professionals and educators working with people living with dementia.

The Framework sets out the essential skills and knowledge necessary for all staff involved in dementia care and will enable organisations to:
  • standardise the interpretation of dementia education and training
  • guide the focus and aims of dementia education and training delivery through key learning outcomes
  • ensure the educational relevance of dementia training
  • improve the quality and consistency of education and training provision
For more information on these and to learn more about the work of Health Education England, click here.
Copyright © 2015 Coalition for Collaborative Care, All rights reserved.

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