Framing Value Based Health Care for the Complex Case

The Complex Case and Recovery Management Framework:

“The CCaRM©”

The CCaRM© Overview

The CCaRM framework© (Spurrell, Potts & Shaw, 2019; 2023) is a practice focussed approach for person-centred care strategy building. Using key principles from value based healthcare thinking, the approach frames 6 key person-centred themes for attention. These themes are (see diagram):

  • Developing a Circle of Support

  • Developing a shared understanding: About Me

  • Framing key problem areas in terms of My Problem Toolkits

  • Developing understanding about what Joining in and Living a Good Life means for the person concerned

  • Aspects of Keeping People Safe and Well

  • What Progress Am I Making: Generating valued outcomes and momentum along the care pathway.

The CCaRM© can serve as a tool for individual work, for care planning, for team development, or indeed as part of a wider service delivery framework.

The technique was originally developed with Mersey Care NHS Trust. It has been used with their specialist support teams, as part of the specialist learning disability and autism service. Since then, the scope for its use has expanded as a training tool for complex case management more generally

Key Advantages:

A framework for working in partnership with people around what matters to them

Supports value-based care planning for complex care

Builds confidence and generates learning and fresh ideas

Ideal for where there are multiple area of needs.

Focussed on progress and widely agreed valued outcomes

Copes with a broad range of care issues and settings

To Learn more use the contact sheet to discuss access to the CCaRM© Training Website

Also, for Primary Care, try https://podcasts.apple.com/gb/podcast/the-art-of-stuck-cases-a-framework-for/id1455369089?i=1000626162355 (courtesy of The Primary Care Knowledge Boost Series)

Spurrell M, Potts L, Shaw A. Framing Value Based Healthcare in Practice: Introducing the Complex Case and Recovery Management Framework (The CCaRM). International Journal of Integrated Care, 2023; 23(1): 1, 1–10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838237/