Mapping patient activation against clinical complexity in a Quadrant model, Dr Ollie Hart sets out an approach to tailor support and resources in a primary care setting

The proposed model ‘The Quadrant model’, is a starting point in thinking about manageable early steps of change, towards a systematic person centred approach to LTCs . It recognises the need for it to be simple enough to understand and implement butstarts to drive ways of working that support the theory and policy aims described above. It should not generate extra work for an overwhelmed system, and ideally should identify where low value health activity can be reduced to increase capacity. It supports making best use of assets that tune into the wider determinants of health, be they from the person themselves, their support systems, or the communities they live in. It seeks to make best use of non-traditional providers of care, where they are most likely to have bigger impact that traditional providers.