1. South Tyneside’s
A Better U programme
Update including PAM

2. what did we say we would do?
Community engagement
Workforce development
Embed a culture of self-care
Marketing & communications
Increasing self-care in target groups
Evaluation of what we’re doing

3. community engagement…. so far
Asset-mapping in Hebburn
Self-care week, other community events
Engagement with local community groups
Engagement with HealthNet
Grants scheme

4. community engagement…. to do
Asset-mapping across the Borough
Use of information about assets
Map of key groups and community leaders
Work with neighbourhoods and residents
Champions in communities
A Better U in community buildings

5. workforce development… so far
Workshops commissioned
Attendance from staff in Hebburn
Commitment from integration board to make sure staff attend
Self-care lab at Palmers Hospital

6. workforce development… to do
Target workshops to staff groups
Make workforce learning and development sustainable – provide support online
Build ‘changing conversations’ into inductions
Ensure workforce has information about community assets and support

7. embed a culture of self-care…. so far
Integrated community teams (health and social care)
Patient-centred GP practices
Quality standard for third sector groups

8. embed a culture of self-care…. to do
Further development with integrated teams
Providers/Services eg Haven Court
Roll-out patient-centred practices
Work with organisations providing a social navigation role – embed social navigation in key health and social care venues

9. marketing & communications… so far
Branding and materials developed
Marketing & communications plan in draft
Information available on wellbeinginfo.org
Licencing approach for use of branding

10. marketing & communications… to do
Further development of marketing & communications plan – including timescales and leads
Links with partner organisations comms teams
Use of staff computer screens, community TV screens and community buildings, Gazette
Develop a better u website
Use social media

11. increasing self-care in target groups… so far
Identified initial target groups;
carers: baseline info collected through strategy group
LD: 100 voices on health, health focus group, diabetes prevention
asthma: engagement with clinical lead
COPD: respiratory strategy group

12. Patient Activation Measure (PAM)
South Tyneside’s
A Better U programme
Self Care
Patient Activation Measure (PAM)

13. Patient Activation Measure
South Tyneside’s
A Better U programme
Patient Activation Measure
PAM – highlighted in the NHS Five Year Forward View – Person Centred Care
Empowers people to improve knowledge & access information
Expert in their own care
Person becomes central to decision making
Validated tool which captures the extent to which people feel engaged and confident in taking care of their health and wellbeing.

14. Patient Activation Measure
South Tyneside’s
A Better U programme
Patient Activation Measure
38 areas across England
1.8 Million Patients with Long Term Conditions
South Tyneside – (prev 335) 4000 licences every year for 5 years (total people)
Bid from South Tyneside includes partners - flexible
Initial training and meetings attended with Insignia

15. Patient Activation Measure
South Tyneside’s
A Better U programme
Patient Activation Measure
Clinician – informs interaction based upon level of activation to deliver information at optimal level
Patients – receives information at a bespoke level enhancing understanding.
System – reduces unscheduled care, improves case management – including stability and prioritising

16. South Tyneside’s
A Better U programme

17. Patient Activation Measure
South Tyneside’s
A Better U programme
Patient Activation Measure
3 key focus areas on knowledge, skills and confidence
Takes 5/6 minutes to complete
100 points scale
4 measure levels - X/Y Axis – activation and complexity
Levels
Overwhelmed/disengaged
Becoming aware/struggling
Taking action
Maintaining behaviours and making further progress
1 & 2 – less prevention needed – biggest gains to be made
3 & 4 – more prevention needed - interact better

18. evaluation of the programme… so far
Evaluation framework agreed
Monitoring against identified formal metrics
Post-card surveys
Evaluation of workshops - ongoing

19. evaluation of the programme… to do
Street surveys, targeted surveys in practices, collect success stories
Recruit champions to have conversations with other residents and people with health conditions
Surveys issued through social media
Measure changes in PAM scores