Better care in my hands: A review of how people are involved in their care

 Better Care In My Hands describes how well people are involved in their own care and what good involvement looks like. | Care Quality Commission

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image source: http://www.cqc.org

People’s right to being involved in their own care is enshrined in law in the fundamental standards of care. It is an essential part of person-centred care and leads to better and often more cost effective outcomes.

This report is based on newly analysed evidence from CQC national reports and inspection findings, as well as national patient surveys and a literature review. It identifies what enables people and their families to work in partnership with health and social care staff and illustrates this with good practice examples from our inspection findings.

Key findings

  • Just over half of people asked say they feel definitely involved in decisions about their health care and treatment.
  • Women who use maternity services are particularly positive about how well they are involved in decisions about their care.
  • We found examples of good practice of people’s involvement in their care in our inspections over the last year.
  • There has been little change in people’s perceptions of how well they are involved in their health or social care over the last five years.
  • Some groups of people are less involved in their care than others. They are:
    • Adults and young people with long term physical and mental health conditions.
    • People with a learning disability.
    • People over 75 years old.
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image source: http://www.cqc.org

For commissioners:

The CQC are encouraging commissioners to support this effort by making sure that there is:

  • Accessible information about health and care options and treatment or support for people and their families/carers
  • Flexible advocacy provision as people use different services
  • Coordinated community and peer support for people to manage their care through programmes with voluntary sector partners
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