In the United States, United Healthcare (Evercare) and Kaiser Permanente have developed approaches to caring for people with long term conditions which have informed the recommended approach in England. The logos below lead to their websites. This page gives information on the following: Matrix Interim ReviewMatrix Research and Consultancy Ltd was commissioned by the NHS Modernisation Agency to undertake three brief case studies, comparing the different approaches to managing long term conditions taken by United Healthcare (Evercare), Kaiser Permanente and Pfizer Healthcare Solutions. The report identified the transferable learning for use by healthcare organisations and offers practical information about the process of change. "Managing chronic disease – what to do as a health and social care community - learning from Kaiser, Pfizer and United Healthcare in England" Learning from Evercare Click on the logo below for the Evercare US website. 
The Evercare programme has been developed in the USA to improve the quality of life for vulnerable older people. The programme involves developing new ways of working for healthcare professionals and is now being piloted by nine Primary Care Trusts. The focus is on helping older people to maintain their independence, improve their wellbeing and avoid the need to go into hospitals. The first interim report provides an initial review of the pilots. It suggests that the programme and its underlying principles have the potential to improve care in England. First Interim ReportSee Summary Download the full Interim Report Evercare & the NSF for Older People Core Principles Evercare Patient Nomination Criteria Improving CDM PDF file Competencies Evercare Patient and Family - Patient Surveys Workforce Surveys
 February 2005 Interim Evaluation
The National Primary Care Research and Development Centre have published their Evercare evaluation interim report: implications for supporting people with long-term conditions (February 2005). The report discusses the Evercare pilots in the UK and how they worked, and looks at some alternative models. It includes the policy implications of the findings so far. Click here to download the report. Success Stories Case management studies from the Evercare pilots Click here for case studies of Advanced Practice Nurses from the Evercare pilots(March 2005). If you have a case study you would like to add, even if you were not one of the pilots, please contact Sally Bassett (contact details at the bottom of this page). Earlier Evercare and NHS documentsAdapting the Evercare Programme for the National Health - Background, Principles, Components, Pathway, Consistency with NSF, Benefits, Adapting the Model, Service Adapting the Evercare Programme for the National Health - Leading Up to Implementation Adapting the Evercare Programme for the National Health - The Role of the Nurse Evercare Project in the UK - Evercare project monitoring and assessment Evercare Project in the UK - the National Primary Care Research and Development Centre's evaluation Monitoring the Evercare Project in the UK - Ovations' and NPCRDC evaluation Learning from Kaiser Click on the logo below for the Kaiser US website. 
On 1 March 2005 a meeting was held for the 'Kaiser Club' - the original test sites applying Kaiser principles in the UK. The following are presentations from the event.Kaiser Club Overview Northamptonshire Kaiser Club presentation Northumberland Kaiser Club presentation Taunton Kaiser Club presentation Torbay Kaiser Club presentation West Essex Kaiser Club presentation The Kaiser Permanente approach is based on segmenting people according to the nature of their long term condition. The following documents refer to the Kaiser approach and look at its application in the NHS. The Kaiser Permanente Approach Bob Crane Leadership and Culture in Kaiser Sharon Levine Patients as Partners: Improving Health and Cost Outcomes with Self-Care and Chronic Disease Self-Management David Sobel "Learning from Kaiser Permanente: a progress report"
Professor Chris Ham, Strategy Unit Director "Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente", British Medical Journal. PEC papers relating to Evercare and Kaiser PEC Paper 2 - Learning From Kaiser - Briefing for clinicians PEC Paper 4 United Healthcare / Evercare
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