Why are we doing this?
We want the health and care system to support people to have the knowledge, skills and confidence to play take an active role in managing their own health and to work with communities and their assets.
There are many good examples of how the health and care system is already doing this. For example, recognising the importance of people supporting their peers to stay as well as possible or coaching to help people set the health-related goals that are important to them.
Realising the Value is not about inventing new approaches, it’s about strengthening the case for change, identifying evidence-based approaches that engage people in their own health and care, and developing tools to support implementation across the NHS and local communities.
But putting people and communities genuinely in control of their health and care also requires a wider shift. The programme is therefore considering the behavioural, cultural and systemic change needed to achieve meaningful transformation.
Realising the Value is funded by NHS England and led by Nesta and the Health Foundation, working in partnership with Voluntary Voices (made up of National Voices, Regional Voices, NAVCA and Volunteering Matters), the Institute of Health and Society at Newcastle University and the Behavioural Insights Team.
What are we doing?
We will collect evidence on what good person and community-centred care looks like and the potentially wide-reaching benefits, such as better mental and physical health, cost savings and wider social value, such as strong community ties.
We will then develop and test ways to embed these approaches, creating a set of tools to allow these to have national and local impact.
The programme is split into three stages:
- Assessing the potential for impact of person and community-centred approaches by reviewing existing formal and informal evidence. We will also seek to understand the perspectives of people who use services, commissioners, providers and practitioners. We will publish our findings in winter 2015/16.
- We will then focus on a limited number of approaches with potential for large impact, based on the evidence base. From December 2015, we will work directly with a small number of local sites and wider networks of interest to develop and test tools and resources to support their implementation. These will take account of what currently stops high potential interventions being commissioned further and used. The aim is to create and refine - with people - a set of tools and resources that can equip the health and care system to take up high impact person-centred care practice at scale - for example by developing tools and training to support practitioners and organisations to introduce new ways of working.
- In the third stage, we will bring the learning together in a final set of resources and recommendations that can impact real change at scale. This will include an analysis of the policies, system incentives and behaviours that need to change for person and community centred approaches to play a role at scale in the health and care system. The final outputs of the programme will be published in autumn 2016.
How will we do this?
The programme will focus on making person and community-centred approaches a reality by focusing on a number of well-evidenced approaches which emphasise efficacy, empowerment and behaviour change.
How can you get involved?
There are several ways to get involved in the programme:
- follow our progress and the tools, resources and insights we develop by signing up to our mailing list, checking our webpage or attending one of our stakeholder events
- comment on our progress, submit ideas and help shape our focus throughout the programme
- follow our announcements in summer 2015 on the types of support we find to be underpinned by the strongest evidence
- apply to become a local area to work with us, or participate in the wider community of interest (the process will be published on our website and via our newsletter in summer 2015)
The NHS England 'Five Year Forward View' published earlier this year set out a vision for the NHS to develop a new relationship with patients and communities and support people with a long-term condition to manage their own health and care.
Many different kinds of change will be needed to achieve this overall shift. Realising the Value is a part of the overall change needed, by consolidating the evidence base, considering the behavioural and cultural change required, setting out the system levers that need to change and developing tools and resources to make commissioning and take-up of key interventions easier.
The programme builds on a large body of work by the Realising the Value consortium partners and beyond, who have strong track records and expertise in this area, which puts people at the heart of health and care and develops community-centred approaches.