1. Self Care An overview of the national Self Care landscape AWC Health and Well Being Hub 4 March 2014 Tina Butler Self Care Lead

2. What is Self Care? Looking after yourself in a healthy way, whether it’s brushing your teeth, taking medicine when you have a cold, or doing some exercise, is really important to help to keep yourself as well as possible

3. Self Care in Bradford & district and AWC…  Sits within the Integration of Health and Social Care programme  Dedicated and committed Self Care Project Steering Group – multi agency  Dedicated team – Self Care Lead, Development Worker and First Contact team  First Contact Self Care signposting and referral service (sits on SystmOne)  Self Care Week 2013 – Guidance Pack and Evaluation Report  Developed virtual Dementia Self Care Pack (sits on the Dementia Clinical Pathway on SystmOne) – four more packs being developed; Depression & Anxiety, Asthma, Heart Failure and COPD  Develop/pilot multi agency attitudinal/behaviour change training package to frontline staff  Plan a Self Care Bradford & district/AWC 2014 Conference  Develop key messages for Self Care

4. Context... oMinor ailments are part of normal everyday experience for all oIn most cases people manage these minor ailments through self care, but previous research demonstrated a level of dependency on the doctor oIt showed that people often abandon self care for the doctor usually within 4-7 days oUnnecessary consultations – in most of these cases a prescription was given as a result of the consultation

5. Reducing GP consultations for minor ailments… oWould result in significant savings and reduced demand on NHS; - 18% of GP workload is accounted for by minor ailments alone - There are 57m consultations involving minor ailments

6. Top 10 account for 75% of all minor ailments… 1.Back Pain 2.Dermatitis 3.Heartburn and indigestion 4.Nasal Congestion 5.Constipation 6.Migraine 7.Cough 8.Acne 9.Sprains and Strains 10.Headache

7. A need to shift behaviour and perceptions to encourage self care… Most people: oEngage in repetitive behaviour oTypically wait 4-7 days before seeking GP advice on a minor ailment (depending on the condition) oNeed educating to ask the pharmacist for advice oHave concerns about paying more than prescription charge for over the counter treatment oAre more cautious when treating infants and young children Continued…

8. Pharmacists: oSpend little time out of the dispensary (~10%) oThink GP/Nurse should encourage patient to self treat oStrongly believe patients trust them And finally that GP/Nurses: oClaim to recommend self-care (people don’t agree) oHave less confidence in the pharmacist/believe patient doesn’t either oNeed ‘permission to act’ oDon’t believe that patients know when to self care/think they lack confidence oDon’t agree that patients prefer to self treat

9. Empowerment with full support...Why? oReduced demand on services/cost effective oChange dependency behaviour/improving people’s ability to care for themselves/family – fully engaged people oConfident about what to do/where to go/when to go oLess dependent on GP/services when faced with LTC oPrepared to challenge health and social care professionals about what they want regarding care and support

10. How do we make progress? Policies already reflect the need for people to take greater responsibility for their health and wellbeing:  Quick access when needed  More choice and less inequalities Implementing and action – we need to break the cycle of habitual behaviour by: oMounting a public health education campaign about the top ten minor ailments in general practice by category oGiving people information to enable them to feel confident/self caring for the right time period oGiving doctors permission to endorse self care without offering a prescription oFocussing on promoting the drivers/removing barriers

11. Questions from you… Thank you