1. Diabetes MCN 24 November 2016 Carl Bickler and Rachel Hardie
House of Care
Diabetes MCN
24 November 2016
Carl Bickler and Rachel Hardie

2. RH introduce house

3. House of care ‘metaphor’
Patient centred –good conversations
Trained staff
Engaged, enabled and supported patients and carers
Improving patients ability to self manage-Diabetes My Way and others
Appropriate ‘processes’
Support the services patients ‘need’

5. House of Care and Diabetes
general practice pathway

6. ‘Data’, patient activation and care planning
Patient invited-informed, encouraged and activated
Health care assistant appointment
Biomedical tests and measurements
process explained further
Information sent out
Care planning appt –practice nurse
Care plan
Action plan
Repeat cycle

7. Diabetes and house of care
Edinburgh
12 month project
6 practices
Diabetes/multiple morbidity
2 stage process
Year of Care training and other training support
Redesign processes
learning cycles
Start with small numbers
Evaluation-self management, patient activation, professional view, patient view.

8. “It” works – Year of Care
Impact on people – quality of life, biomedical outcomes
Impact on primary care ? change in pattern
Impact on workforce

10. “It works” – the components
Supported self-management
Shared decision making