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Information on the Kaiser Pyramid of Care for Long Term Conditions [PDF]
A table describing approaches to involving professionals can be found on page 43 of the final report
How do you involve professionals and persuade them of the value of IPs? Three short papers from Marsden , Yorkshire and Hammersmith and Fulham and a Powerpoint presentation from Suffolk (converted to PDF here)
Read about a conference held by the Parkinson's Disease Society (PDS) and Northumbria Healthcare NHS Trust to tell the local PDS members about the project and get information in return.

:images: Heartlands

5.7 Promoting IP: to service providers

Providers and provider organisations will need to embrace idea of promoting IP as an essential part of their customer or patient care. But why should they?

Adopting IP will really enable a provider to demonstrate that it is working on better patient engagement
IP is a clearly evidenced way for a provider to demonstrate that it is prepared to work at the individual level to address specific needs and offer pointers to further support.
Making IP a central part of care planning means that users are more likely to receive an IP and see it as part of a self-management process; this will quite quickly pay off in a reductin of the time professionals need to spend on IPs.

"Sometimes it's surprising what types of information users want. For example, they might ask for information on 'the end of treatment' when they are right at the beginning." — health professional

One key determinant which was used by pilots to judge how IPs should be offered was the identified level of need of users. Pilot sites used different definitions for need, using a range of terms such as stable, unstable, less advanced or advanced, high risk or lower risk to describe population needs. In small number of pilots, the Kaiser Pyramid of Care model was used as a basis for identifying the level of support that users would need to access information prescriptions. [see also 'more resources' on the right]

The Kaiser model identifies those with long term conditions as having three broad levels of need:

Level 1, which they define as 70-80% of the total population who have a chronic condition and can largely manage their own conditions with the help of primary care.
Level 2, which are users at high risk, and who require a care management approach, often provided through both primary and acute services.
Level 3, which are highly complex patients, who often have more than one chronic condition and require a case management approach, often provided by primary, social and acute services.

On the next page: advising commissioners

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