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Table 1 Resources and their purpose within the programme

From: The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions within general practice

Purpose of resource

Examples

How they supported programme delivery

To introduce CSP to people attending the practice

Posters / leaflets / videos for waiting rooms / information for websites

individual invitation letters

Each person is prepared for a change in the care process and CSP conversation and their role within it.

To support preparation for each person

Preparation / agenda prompts: a range of material designed to send personal information (test / assessment results) / explanations / and reflective prompts, tailored to different conditions, combinations and generic situations

The person has the same information as the practitioner with time to reflect (with friends and family if desired) prior to the conversation.

To support practitioner preparation

Redesigned assessment tools (e.g. medication, frailty) for self or supported completion by the person

Ensures data collection supports the ethos of ‘working with’ rather than ‘doing to’.

To provide IT components for the 3 clinical record systems used across UK general practice

Predesigned templates for each of 3 systems which enable practices to select patients easily, coordinate appointments, merge test results into letters, record care planning summaries as well as audit and monitor implementation.

Read Codes for process components

Enables systems to be set up and ready to go immediately staff have attended training. Reduced administrative workload.

To support quality assurance and monitoring

Practice checklist

‘Quality Mark’

Reflective tools for teams to work together to set up and review how CSP is working in their practice

To support coordinated practice activity / administration

Practice pack: All the practice level resources provided in one indexed place for each practice involved

The ‘programme manual’ for delivery teams

To support training

Videos of CSP conversations

Slides including a case for change

Experiential / interactive activities

Case studies / reflective exercises

To support the interactive training programme using a variety of methods and materials.

Overarching Site resources

Case for change

Case studies

Coordinator guidance

Critical success factors

A cost modelling tool

Sample enhanced schemes

Evaluation frameworks

A range of resources to support organisations to develop a local business case; and give an overview of the work involved in setting up and implementing the programme.