1. 1 Ehealth, self management and long term conditions in Scotland Christine Hoy Project Manager, Self Management Long Term Conditions Unit, Scottish Government Christine.Hoy@scotland.gsi.gov.uk

2. 2 Why is self management important?

3. 3 Projected rise COPD in Scotland, aged 60> over next 20 years

4. 4 Predicted rise in vascular disease and diabetes 1998 - 2023

5. 5 Co morbidity – more than one long term condition (PTI practices, ISD)

6. 6 By 2030 the incidence of long term conditions will double (Health Foundation 2007)

7. 7 Improving care of people with long term conditions Focus on: –prevention of long term conditions –improving care of people with diagnosis of a long term condition –Co morbidity –self management

8. 8 What is self management? “what people do to care for themselves, their children, other family members and their communities.” Alliance for Self Care Research “a process where people living with long term conditions can achieve and maintain optimum wellbeing.” Long Term Conditions Alliance Scotland

9. 9 The science of common sense

10. 10

11. 11 Seeing the individual She seems awful worried, but I can’t see anything too bad. It’ll probably pass, but I better exclude Arthritis I’ll order some blood tests, give her some painkillers… get her back in a week. What’s going on? Should I tell him Mum’s in a wheelchair with arthritis? What if this gets worse? What about work? I need something for the pain.

12. 12 15 min per month = 3 hours per year Copyright 2004 FreePhotosBank.com

13. 13 People are already self managing

14. 14

15. 15 Self Management Strategy

16. 16 Spina bifida

17. 17 SPICE leaflets - Epilepsy Scotland Information from Epilepsy Scotland

18. 18 Scottish Government strategies CMO – Dr Harry Burns chairs Steering Group for Long Term Conditions and Ministerial Taskforce for Inequalities Long Term Conditions Collaborative Self Management Strategy just launched – Gaun Yersel

19. 19 Plans for self management in Scotland 1.Develop and embed Principles of self management 2.Communication skills 3.Health plan for everyone with long term condition 4.Access to local and national sources of support

20. 20 Principles of self management in long term conditions provide a guide and reference for improving and setting up services, evaluating pilots, job descriptions a way to thread self management through health and social care

21. 21 Communication

22. 22 Health plan for everyone with long term condition http://www.flickr.com/photos/pchweat/2331900663/

23. 23 Access to local and national sources of support NHS Tayside

24. 24

25. 25 What have we got? Anticipatory Care Self Management Programmes NES (education) Telehealth Better Together Co-creating Health LTCAS Being Human LTCs and Mental Health Collaboratives Managed Knowledge Network And others… Quality Improvement Scotland Health Literacy Alliance for Self Care Research Patient access to record

26. 26 A joint effort Anticipatory Care Self Management Programmes NES (education) Telehealth Better Together Co-creating Health LTCAS Being Human LTCs and Mental Health Collaboratives Managed Knowledge Network And others… Quality Improvement Scotland Health Literacy Alliance for Self Care Research Patient access to record

27. 27 Next steps: Steering group for self management formed Self-management is a work stream in the Long Term Conditions Collaborative improvement programme which was launched in April this year.