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Transforming the medical model- The workforce skills and competencies for implementing a biopsychosocial model of care


Jim Phillips ,

Centre For Empowering People and Communities/Personalized Care Institute, United Kingdom, GB
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Pauline Foreman

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Personalised Care represents a new relationship between people, professionals and the system. It happens when we create the infrastructure that maximises the expertise, capacity and potential of

people, families and communities to take increasing  control of their health and well-being. People want: 

• To be treated as a whole person by professionals they trust.

• To be involved in decisions about their health and care.

• To be supported to manage their own health and well-being, through health coaching, access  to self-management programmes and to peer  support in the community.

• Their care to feel co-ordinated.

These are the core elements of Personalised Care that are now accepted internationally as good

clinical practice.  .

According to this model, people access Personalized Care through six key components or programmes that come together to deliver an all age, whole population

approach to Personalised Care.

The six components are:

1. Shared decision making

2. Personalised Care and Support Planning

3. Social prescribing and community-based support

4. Supported self-management

5. Enabling choice, including legal rights to choice

6. Personal health budgets and integrated

personal budgets

The Personlased Care Institute was commissioned by NHS England and Improvement and is convened by the Royal College Of General Practitioners. Its aim is to ensure the workforce has access to high quality, evidence based training to enable them to practice in a personalized care way and implement the six components.

The curriculum articulates the values, behaviors and capabilities required by a multi-professional

workforce to deliver Personalized Care. It sets out an educational framework for learning the essential elements to this approach and supports ongoing

professional development. The purpose of the curriculum is to unify the different ways of approaching Personalized Care, and thereby:

1. Describe learning outcomes for individual practitioners to deliver care according to NHS England and Improvement Universal Personalized Care

.2. Inform educational aims and objectives for training courses.

3. Provide a framework for accreditation and governance of training courses.

4. Describe, for commissioners and organisations, the skill-sets needed within their teams to deliver

Personalised Care.

The curriculum is based on the principles of Excellence by Design  and incorporates generic

professional capabilities across the spectrum of the wider healthcare workforce.

Although the curriculum is intended primarily for workforce and training purposes, we have been conscious of keeping Personalised Care at the centre by using the language and ethos of collaboration and enablement. There is an intentional shift from problem-solving to collaborative models as a pre-requisite to facilitating changes in professional behaviours.

The curriculum is based on professional behaviours and high-level learning outcomes rather than

providing a detailed syllabus. It was important that we strengthened the perspective of service

users rather than provide a list of tasks for the learners.

The learning outcomes are intended to be applied to the role that delivers Personalised Care, rather than being defined by profession or assumed seniority. Thus, they reflect a holistic approach to skills within an organisation.

The curriculum has been co-produced including people with lived experience

How to Cite: Phillips J, Foreman P. Transforming the medical model- The workforce skills and competencies for implementing a biopsychosocial model of care. International Journal of Integrated Care. 2022;22(S1):177. DOI:
Published on 08 Apr 2022.


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