Evaluating the application of the Buurtzorg principles in Scotland

evaluation

by Ben Lukins, Programme Manager, Healthcare Improvement Scotland. Follow Ben on Twitter @blukins1.

At the start of December we held a workshop exploring the evaluation of neighbourhood care at a national and local level. The workshop was well-attended and included academics with evaluation backgrounds, staff from some of the Scottish test sites, representatives from Buurtzorg, staff from the Public Health Agency in Northern Ireland and individuals from our national partners.

The importance of reflecting the local context was recognised and it was acknowledged that there was a richness in the qualitative information, drawn from staff’s experiences.  The group reflected that the evaluation was about looking at how the principles of Buurtzorg had been applied and not about evaluating the principles themselves.

Buurtzorg principles in Scotland

We spent time determining the principles that were being applied in Scotland and agreed on the following:

  • Putting the person at the centre of holistic care.
  • Building relationships with people to make informed decisions about their own care, which promotes wellbeing and independence with active involvement of family, neighbours and the wider community, where appropriate.
  • Everyone, including support functions, enabling person-centred care at the point of delivery.
  • Small self-organising, geographical-based teams.
  • Professional autonomy.

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