Enid FeatherClinical Lead Self Care and Prevention

Self care and prevention through patient and staff activation

October 2015

Aims of Presentation

• Know what is meant by self care and prevention

• Understand some of the ways self care can be encouraged and supported.

• Look after yourself information• Open a discussion on ideas for developing

support for self care

Context• NHS success at saving lives so people live longer• Many with a significant proportion of poor

health• More people with more than one long term

condition• Some conditions attributable to lifestyle choice• More people with caring responsibilities• Increased demands on health and social care

What is self care?‘Self Care is a lifelong habit for patients and the public

dealing appropriately, effectively and safely with their own minor ailments

and long term conditions, taking preventative measures to stay fit,

and maintaining good physical and mental health and wellbeing.’

Ref Health Care Forum.

The Self Care Continuum

Prevention1. Primary prevention reduces the risk of health

problems by reducing lifestyle risks or targeting high risk groups

2. Secondary prevention intervenes in the early stages of disease to reduce the impact on function and independence

3. Tertiary prevention prevents or delays disability from long term conditions.

The Self Care Continuum

Self care

Self management

Medical emergencies

Management of general health and illnesses

Shared roles for people with long term conditions

Opportunity during

recovery and rehabilitation

Primary prevention

Secondary and tertiary prevention

A social and medical model

Self care

Self management

Medical emergencies

Health and wellbeing

managed in a social context

Health and wellbeing managed in a social context with medical

model support

Medical model

Social model Social and medical model Medical model

Self care and prevention is for everyone

No clear road map for the journey

What works?

The King’s Fund House of Care

What works?• Finding out what is important to the person• Involving people in decision making• Structured information• Joint goal setting, plans and reviews• Self monitoring symptoms and escalation plans• Support with social, emotional and physical

impacts of illness• Opportunities to share and learn from others

What do engaged patients look like?

Benefits of engaging patientsCan have a positive impact on people’s• Physical symptoms and clinical outcomes • Ability to cope day by day• Attitudes and behaviours• Quality of life and health and wellbeing

The evidence that this reduces costs is variable

Self care and management model

What are we doing in AW&C?• Promoting the self care and prevention message• Working with staff and services across the area• Engagement with service users• Linking with partner organisations for win win• Establishing a staff self care network• Improving self care information on the CCG public

website• Including in service specifications • Building into the New Models of Care

Look after yourself• Maintain a healthy weight• Keep active• Drink alcohol sensibly• Hobbies and interests• Contact with family and friends• Resist smoking• For information look on NHS Choices

The AW&C Self Care NetworkThe link to sign up is

http://awcselfcarenetwork.ning.com/?xgi=1glmj6XvGcLNA6

Please encourage people to join.

NHS ChoicesYour Health, Your Choice

The link is

http://www.nhs.uk/pages/home.aspx

Health A-Z Services near youLive Well Health newsInteractive tools/apps Care and Support

Community Health Maps

The link to community health maps is

http://health-partnership.org.uk/hp/local-info-sheets/

Please encourage people to use

Self Care Week 16-22 November 2015Bradford and Craven Programme

organising public events and resources•Developing Self Care week packs•Public events at Keighley Shopping Centre and Craven Court in Skipton•Promotion of Pharmacy before and during self care week•Encouraging displays in

- GP practices - Leisure Centres- Schools and libraries - Local Colleges

Questions and discussion

References1. Person Centred Care: From ideas to action, The Health Foundation, October

20142. The Self Care Continuum adapted from the Self Care Forum Website3. The need for an integrated approach to supporting patients who should self

manage, Jim Phillips, Self Care Journal, March 20124. Delivering better services for people with long term conditions: Building the

house of care, The Kings Fund October 20135. Bradford District and Craven Self Care and Prevention Programme Brief. May

20156. The NHS Constitution March 20137. Five Year Forward View October 20148. The Health and Social care Act 2012