Working Together to Improve Self Care Shipston Medical Centre

What is Self Care? “The practices undertaken by individuals towards maintaining health and managing illness” Self care is the basic level of health care in society Self care is a continuum

The Self Care Continuum 100% SELF CARE 100% PROFESSIONAL CARE Daily choices Lifestyle Self care of ailments Minor ailments Long term conditions Acute condition Serious mental or physical illness HEALTHYLIVINGMINORAILMENTS LONGTERM CONDITION Acute HOSPITAL CARE

Sources of information GPs Practice nurses Minor injuries unit Pharmacists Dentists Range of health professionals – chiropody, physiotherapists, occupational therapists NHS direct Books – “Books on Prescription Scheme” Internet – see practice website for reliable sources “Warwickshire Health Line”

Healthy Living – personal choices

Healthy Living

ACTIVE 11 Family fun day Sports and Social Club July 24 th 2- 5pm

Minor illness

Minor illness and self care Not just a recipient of health care but take responsibility to play an active role in own health and wellbeing. “What should I do if …” booklets – evidence based, up to date advice. Dr Gilder and Health Visitors holding ‘How to manage Minor Illness in Children’ sessions for young parents at new ‘Badger Valley Children’s Centre’

Self help and long term conditions Patient satisfaction survey results – “did you feel more able to manage your condition after seeing the doctor?” 15 million people in UK have a long term condition – increasing as population ages

Long term conditions On average a person with diabetes sees their health care professional for 3 hours a year. That leaves 8757 hours where they are managing the condition themselves!!!! Not just about education but about developing confidence and motivation to use skills and knowledge to take control over life with a chronic condition. Working together - Practice registers and recall system – regular reviews Repeat medication facilitator – provides prompt for review when ordering repeat medication

Benefits of self care in long term conditions – The Evidence. Given the necessary skills and support, people who self care more, can…… experience better health and wellbeing, improve outcomes improve compliance with medication reduce the need for emergency hospital admission have better planned and coordinated care have better mental health and less depression

Self care and long term conditions Education and involvement in decision making Care plans – personalised management plans – COPD/asthma/schizophrenia and bipolar disorder Patient held records – diabetes/warfarin/lithium Antenatal care, Red book - child development Educational Programmes - ‘expert patient programmes’ Falls prevention Cardiac and pulmonary rehabilitation Desmond Support groups, involvement with family and carers Parkinson's disease Alzheimer's disease Stroke

Complex cases Multiple health and social problems, often house bound, high risk of hospital admission Case Management: joint working with GP, District Nurses, EBH day unit, Intermediate Care Team, Community Matron – Yvonne Bottrill Holistic approach, signposting to services, checking compliance with medications, encouraging improved self care. Successful at preventing hospital admissions and increasing independence

Promoting self care at Shipston, working in partnership, striving for improved health and wellbeing.