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Personalised Care and Support Planning

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Care and Support planning is about effectively supporting patients with multi-morbidity and the teams that work with them. By 2035 approximately 17% of the UK population is projected to have 4 or more chronic conditions. (1) Locally in Berkshire West more than a third of the population have a Long-Term health condition. The NHS 10-year plan suggests that personalised care and support planning will be part of day-to-day in 2023/24.

  1. Kingston A Projections of multi-morbidity in the older population in England to 2035: estimates from the Population Ageing and Care Simulation (PACSim) model. Age and Ageing. 2018; 47: 374-380

What is Personalised care? – click here to read more at the Personalised Care Institute

In Berkshire West we want to support co-morbidity care planning – one personalised care plan and one review.

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To see how the template works click here: <link to go here>

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Care and Support planning training is available for clinical and non-clinical staff to have a look at some of the options available please go to:

We are also contacting all surgeries to see what other help or support you may require with roll- out:

Training available:

Long term conditions – see training calendar for introduction to long term conditions.

Virtual consultations –

Health coaching – contact

Consultation skills –

MECC-Making Every Contact Count (MECC)

Get Berkshire Active – Get Berkshire Active

RESPECT Training –


Year of Care training for – those new to a practice where care planning is established and moving on to care planning for co-morbidities – please contact

e-learning for health – modules on MECC, care planning, long term conditions.

Personalised care and support planning Podcasts – click here

Mobile App


Berkshire West Training Hub