Personalised care and support planning

Personalised Care and Support Planning is a series of facilitated conversations in which the person, or those who know them well, actively participates to explore the management of their health and well-being within the context of their whole life and family situation.

This process recognises the person’s skills and strengths, as well as their experiences and the things that matter the most to them. It addresses the things that aren’t working in the person’s life and identifies outcomes and actions to resolve these.

Personalised Care and Support Planning is key for people receiving health and social care services. It is an essential tool to integrate the person’s experience of all the services they access so they have one joined-up plan that covers their health and wellbeing needs.

What are the benefits to personalised care and support planning?

Valuing people as active participants and experts in the planning and management of their own health & well-being ensures that the outcomes and solutions developed have meaning to the person in the context of their whole life, leading to improved chances of successfully supporting them.

Integrating health & social care at the point of assessment and planning means the person will not have to repeatedly share their story time and time again, as they will have one assessment & planning experience that results in a single integrated personalised care and support plan.

Personalised care and support plans

The personalised care and support plan is developed following an initial holistic assessment around the person about the person’s health and well-being needs. The person, or their family, work hand-in-hand with their health and social care professionals to complete this assessment which then leads to producing an agreed personalised care and support plan.

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 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.


I found it helpful as this approach has forced me to not automatically offer solutions or trying to fix perceived issues, but rather working with my service users to find out what matters to them and what they would like to achieve and how I can help in my role with that.

The approach feels valuable and progressive in that it is focussing on what works well, focusing on the skills and attributes the patient has, and the hopes they have for their life.

As a result I have been able to build a more positive relationship with the family, and I feel strongly this is due to having a broader conversation, which has enabled the family to express some concerns that would otherwise been unlikely to be addressed.

I feel this is a more positive way of working and is helping me to stay motivated, as this approach gives me the opportunity to discuss all aspects of a patient’s life rather than just focusing on my specialism.