Intended for healthcare professionals


New personalised care plan for the NHS

BMJ 2019; 364 doi: (Published 31 January 2019) Cite this as: BMJ 2019;364:l470
  1. Anya de Iongh, patient editor1,
  2. Don Redding, director of policy and partnerships2,
  3. Helen Leonard, consultant paediatrician3
  1. 1The BMJ, London, UK
  2. 2National Voices, London, UK
  3. 3NHS England Strategic Co-production Group, London, UK
  1. Correspondence to: A de Iongh adeiongh{at}

Change is coming, if funding materialises

The recently published NHS long term plan1 outlines five large practical changes to the NHS service model, including ambitious plans for personalised care.

The goal is to establish the NHS comprehensive model of personalised care in every local health system. This model consists of six interconnected components: shared decision making; personalised care and support planning; enabling choice; social prescribing and community based support; supported self management; and personal health budgets. Their common aim is to give people more control over their health, care, and support at all stages of life. This can be life changing.

None of these approaches are new, each one has an evidence base,2 and all have been the subject of policy announcements before,3 generally with little effect.4 For many people with long term conditions or complex health and social care needs, the gap between aspirations for personalised care and current reality is stark.5 It is a big ask for any single document to bridge that gap, yet this …

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