Shared Learning

Upstream Models of Care

To improve the health and outcomes of our communities, a transformational shift from a traditional, clinical model of care to a social model of care needs is needed.  Instead of curing symptoms that bring patients through the door, partners across the health and care system need to come together to explore the root causes of health and inequity including structural barriers such as geographic area, housing, employment and education. Upstream models of care explore the precursors of ill health, working proactively to discover 'What would it take for this illness to never happen again?'

Click on the links below to find out more about each upstream model of care or view the handy resources below.

Preventative

Preventative, health promoting care, means ensuring that health and care settings and care pathways create opportunities for people to eat well, stay active, connect with others, and access support to live healthy lives.

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Net Zero

 NHS Greater Manchester’s vision is to improve the health and wellbeing of all residents of Greater Manchester whilst minimising environmental impacts through the delivery of sustainable healthcare and increasing focus on public health.

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Person-centred

Being person-centred means people can take control of their health, and design support that is right for them. Person-centred conversations enable us to shift the relationship between health and care professionals, and lead to more effective partnerships to help people manage and improve their health. 

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Trauma Responsive

Greater Manchester has an ambitious plan to become a Trauma Responsive City Region. We are developing systems to mitigate the impact of trauma and refine our ways of working through a Trauma Responsive lens to enhance wellbeing and prevent the cyclical nature of Adverse Childhood Experiences (ACEs).

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Integrated

People benefit from care that is person-centred and co-ordinated within healthcare settings, across mental and physical health and across health and social care. For care to be integrated, organisations and care professionals need to bring together all of the different elements of care that a person needs. 

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Targeted
Proportionate universalism is an approach that balances targeted and universal population health perspectives, to superserve neighbourhoods and communities with the greatest needs to address the burden of disease and close the gap in health inequality.
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View upstream models of care in action through Stories of Change collected from across the system.