Presentation on theme: "Clinical Lead Self Care and Prevention"— Presentation transcript:
1 Clinical Lead Self Care and Prevention through patient and staff activationEnid FeatherClinical Lead Self Care and Prevention
2 Aims of presentation National and local context What is self care and prevention?Models and MythsThe self care journeyWhere are we now?Question time?
3 National Context NHS success at saving lives so people live longer Many with a significant proportion of poor healthMore people with more than one long term conditionSome conditions attributable to lifestyle choiceMore people with caring responsibilitiesIncreased demands on health and social care
4 Bradford District and Craven Self Care and Prevention Programme Reports to the Integration and Change Board and up the Health and Wellbeing BoardBradford has delegated responsibility for public health in North YorkshirePriorities arePromoting health, wellbeing and independence for allPreventing deterioration , delaying dependence and supporting recovery for those with long term conditions
5 Airedale, Wharfedale and Craven, Clinical Commissioning Group Clinical Lead: Self Care and PreventionSelf Care and Prevention reports into the New Models of Care Integrated Delivery BoardSelf Care and Prevention initiatives increasing since launch in November 2014Maximise opportunities from Bradford and Craven programme and work streams
6 What is self care? Ref Health Care Forum. ‘Self Care is a lifelong habitfor patients and the publicdealing appropriately, effectively and safelywith their own minor ailmentsand long term conditions,taking preventative measures to stay fit,and maintaining good physical and mentalhealth and wellbeing.’Ref Health Care Forum.
8 PreventionPrimary prevention reduces the risk of health problems by reducing lifestyle risks or targeting high risk groupsSecondary prevention intervenes in the early stages of disease to reduce the impact on function and independence3. Tertiary prevention prevents or delays disability from long term conditions.
9 The Self Care Continuum Self managementSelf careMedical emergenciesManagement of general health and illnessesShared roles for people with long term conditionsOpportunity during recovery and rehabilitationPrimary preventionSecondary andtertiary prevention
11 Self care and prevention is for everyone…..so Massive cultural changeTurning round a culture started at the beginning of the NHS and the social care system will take timeMust utilise an asset based approach which acknowledges the strengths of people, families, carers, communities, voluntary organisations, and many more, for everyone to reach their potential.
12 Benefits of engaging people Can have a positive impact on people’sPhysical symptoms and clinical outcomesAbility to cope day by dayAttitudes and behavioursQuality of life and health and wellbeingThe evidence that this reduces costs is variable
13 Self Care Myths1 It is about patients doing it themselves 2 It is about making it harder for people to access services 3 It is about making it easy for staff 4 It is about saving money 5 It doesn’t work 6 It is too difficult and complicated to make the cultural change.
17 What works for individuals? Finding out what is important to the personInvolving people in decision makingJoint goal setting, plans and reviewsStructured informationSelf monitoring symptoms and escalation plansSupport with social, emotional and physical impacts of illnessOpportunities to share and learn from others
19 What are we doing in AW&C? Promoting the self care and prevention messageWorking with staff teams across the areaCo creation with service usersLinking with partner organisations for win winEstablishing a staff self care networkImproving self care information on the CCG public websiteReviewing the health navigators role for signposting and support
20 Current projects include Obesity and diabetes prevention and early interventionChanging approaches for people with long term conditionsFalls prevention pathwaySelf management elements in patients escalation plansSelf harming alcohol users
21 For spread and sustainability Launch of the self care network and toolkitPlanning for Self Care week in NovemberIncluding in service specifications eg Integrated Community ServicesBuilding into the New Models of CareInvolving more groups and stakeholdersDevelop self care and prevention championsSpread good practice and success
22 Bradford District and Craven Self Care and Prevention Programme The work streams will includeempowering the population,developing the workforce andtechnological solutionsBradford Public health have invested £200KProgramme manager and admin supportCommunications and marketingTraining and developmentBusiness analysis and evaluation
24 ReferencesPerson Centred Care: From ideas to action, The Health Foundation, October 2014The Self Care Continuum adapted from the Self Care Forum WebsiteThe need for an integrated approach to supporting patients who should self manage, Jim Phillips, Self Care Journal, March 2012Delivering better services for people with long term conditions: Building the house of care, The Kings Fund October 2013Bradford District and Craven Self Care and Prevention Programme Brief. May 2015The NHS Constitution March 2013Five Year Forward View October 2014The Health and Social care Act 2012