Personalised Care Support Planning

There is no set template for what a personalised care and support plan should look like but it should reflect the following:

  • A way of capturing and recording conversations, decisions and agreed outcomes or goals in a way that makes sense to the person.
  • Should be proportionate, flexible and coordinated and adaptable to a person’s health condition, situation and care and support needs.
  • Should include a description of the person, what matters to them and all the necessary elements that would make the plan achievable and effective.

A personalised care and support plan must meet the 5 criteria below:

  1. People are central in developing and agreeing their personalised care and support plan including deciding who is involved in the process.
  2. People have proactive, personalised conversations which focus on what matters to them, paying attention to their needs and wider health and wellbeing.
  3. People agree the health and wellbeing outcomes they want to achieve, in partnership with the relevant professionals.
  4. Each person has a sharable, personalised care and support plan which records what matters to them, their outcomes and how they will be achieved.
  5. People are able to formally and informally review their personalised care and support plan.

More information about personalised care support planning can be found at NHS England » Personalised care and support planning