24 September 2024

Unlocking better health: The crucial role of personalised care

by

Photo of a physio giving treatment to a young man's wrist

The importance of personalised care

Personalised Care Week, organised each year by the Personalised Care Institute, is always an opportunity to talk about personalised care – what it is and why it matters.

In many ways, it is extraordinary that in modern health services we need to. After all, what could be more personal than health? What other service needs to be so uniquely tailored to your life?

  

The decline of individualised healthcare

But over the past century, healthcare has been less individualised – as we focus on better science and better efficiencies, healthcare has become less personal, more remote, and much more transactional than ever before.

In the late 20th century, when New Public Management approaches grew, the NHS, like many organisations, sought to make sure they used their skills, capabilities and resources to the best effect for our populations. So far so good, perhaps.

Except key elements of the market approach fall down in healthcare.

Efficiency and productivity vs. personalised care

In the last few years, conversations about health and care have been resolutely focused on the pressures and demands.

We have been more focused on efficiency and productivity than ever before. And it is impossible to conclude anything other than this is not working.

We are better at pathways, better at flow, have better medicines, more skilled clinicians, better hospital sites. But the health of our nation is failing, and in the words of our own health secretary, the NHS feels broken.

At the heart of this we find an issue illuminated by the language of design – we have fallen in love with solutions, rather than the problem.

Focusing on the root causes of health problems

The problem is not the hip, the knee, the low mood, the high blood sugar, the long wait list.

The problems are personal – they sit more with our lifestyles, our finances, our food and nutrition.

People who are isolated, impoverished, lacking heating, basic amenities, social connections.

A woman is sat in a doctor's office talking to a clinician, the clinician is listening to her

With 80% of the determinants of health sitting outside of healthcare services, our focus on better tech, quicker care, slicker pathways may be misguided. In fact, we may be increasing demands – both on services and on the people who receive them.

The role of personalised care in treating multi-morbidities

So Personalised Care Week is a good time to remember this, especially as we focus on multi-morbidities. If you are living with two or more long-term health conditions (like 15% of the population), nothing will be more important than someone taking the time to understand what will improve your health, and how treatment can fit your life.

To deeply understand rather than assume what the problem is, by spending time with those affected. These insights lead to very different definitions of what the challenges are, unlocking solutions that will allow us to tailor healthcare for each and every one of us.

A call to action for personalised care

At Here, we invest time in both listening to our populations, but also embedding Health Builders (people with lived experience of the health problems we are trying to support) into our services. We spend time discovering and unpicking the impact, helping us define and approach problems and solutions differently.

This Personalised Care Week, we hope more people will be inspired to do the same. To step back and consider what gets in the way of this personalised approach every day, and how you might dismantle this, in service of better health for all.

The Personalised Care Institute is running a number of webinars this week, for more details go to their website.

Dr. Helen Curr, Chief Executive at Here

My role is to hold ourselves true to our values. To make sure our commitment to putting people at the heart of their healthcare journey is embedded in every decision and action we take.

Photo of Dr Helen Curr, a white woman with short hair and smiling

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