Personalised Care and Support Plan
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About this toolkit

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Getting to grips with the standard

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Getting people on board

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Taking stock and planning

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Putting the standard into practice

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Shared resources and learning

Getting to grips with the standard

Personalised care plans allow information to be shared more easily between different services and with the individual themselves. This leads to better integration of health and care services, ensuring that providers are in a place to deliver the best possible support.

The Personalised Care and Support Plan Standard sets out what information should be included in a care plan. 

It supports people living with long term conditions and complex needs and it was updated to better support people with severe mental health conditions to live well in the community.

In this section of the toolkit we explore the contents of the standard, its purpose, when it should be used and how it fits with other elements of personalised care planning.

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The benefits

Erica, a mental health campaigner has lived experience of severe mental illness. Erica talks to PRSB about the need for information sharing between her care providers and why a digital personal care plan is essential for her mental health and wellbeing to prevent any relapses.

Professionals from across the health and care section give their views on how the standard would benefit the people they care for and their workload. Hover over the image below to view their quotes.

About me
A record of the things a person feels is important. E.g. preferred ways to communicate during a crisis.

Care and support plan
A record of decisions made by the individual and professionals about their goals and progress.

Formulation
An account of the meaning and origins of a person’s mental health difficulties.

Procedures and therapies
A record of interventions such as psychological therapies, smoking cessation or medications.

Contingency plans
What to do and who to contact if a person’s health or circumstances gets worse.

Additional supporting plans
An embedded record of any additional care plans which the individual or care providers need.

The full standard

You can view the full standard on the following page: Personalised care and support plan standard


Latest version: V2.0
The latest version was published with a new section to support adults who live with severe and enduring mental health conditions in the community. Co-produced with health and social care professionals, as well as people who use services, the standard is designed to help people stay well and live the best lives they can at home or in supported accommodation. 

Please see Standards Explained for more information about how PRSB information standards are structured.

How to use the standard

The standard should be implemented in systems that your organisation is using to collect and access information about a person. Once the information standard is implemented, health and care professionals should be trained to use it correctly when co-producing or accessing a person’s personalised care and support plan.

The information model for the standard includes different levels of conformance:

  • Mandatory (M): the information must be included
  • Required (R): if it exists, the information should be included
  • Optional (O): a local decision is made as to whether the information is included
 

These levels are sometimes referred to as M/R/O. They are defined from the perspective of the person completing the record. 

PRSB recognises that implementers might be at the start of their journey and few, if any, will be able to implement 100% of the standard from the start. For more information about compliance with PRSB standards, please see our Standards Partnership Scheme. This page has information about compliance for suppliers and NHS provider organisations

PRSB Standards Explained

Why we need standards to record our health and care information in a consistent way so that it can be made available whenever it is needed.

Making change happen

Transformation programmes need clear goals, the right leadership and engaged staff and stakeholders. Get started by reading our information on transformational change.

PRSB Support Available

If you have a question for PRSB, please contact our support team. We have an expert team who can help you find the answer, or direct you to the right place.

Wound assessment and treatment

Wound cause(s) and baseline information, wound assessment and treatments.

Treatment plan

Intended treatment regime, escalation pathway and person preferences.

Supported self-care (self-management)

Information provided to, or recorded by, the person during their wound care treatment.