Supporting people, professionals and organisations to Self Care

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Supporting people, professionals and
organisations to Self Care

• Helena Stone
• Working in Partnership Programme

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Contents

• Supporting people, professionals and
  organisations to Self Care
• Why do we need Self Care?
• Shifting the culture
• Four pillars to support Self Care
• Impact and benefits of Self Care

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The self care continuum
The Self Care Continuum
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Why do we need self care?

• 80 of heart disease, stroke and type 2 diabetes,
  and 40 of cancers could be avoided if common
  lifestyle risk factors were eliminated
• These conditions are linked by common risk
  factors, underlying determinants and
  opportunities for intervention
• Almost 60 of the disease burden in Europe is
  accounted for by seven leading risk factors

Source The European Strategy for the Prevention
and control of noncommunicatible disease. WHO
September 2006
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Shifting the culture
Derek Wanless will need to shift its focus
from a national sickness service, which treats
disease, to a national health service which
focuses on preventing it
The White Paper states that at each stage of the
professional education and regulatory process
action should be taken to change the underlying
culture profoundly and encourage support for
individuals empowerment and self care.
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Shifting the culture
People should be empowered to promote their own
health, interact effectively with health services
and be active partners in managing disease
The Choosing Health White Paper builds on the
publics growing desire for a healthier future by
ensuring that the self care support is in place
for people particularly those in disadvantaged
groups and areas to make healthier choices about
diet, physical activity and lifestyle.
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Supporting people and professionals to Self Care
Supporting Self Care
1. Skills Training
4. Support Networks
2. Information
3. Tools Devices
Four Main Pillars for Supporting Self Care
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1. Skills TrainingWiPP Supporting Professionals
and Organisations
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Supporting Professionals to Self Care
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Self Care Resources for Professionals
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P.A.R.T. model for self care

• The P.A.R.T. model is used to illustrate
  pathways for self care
• P Prevent the condition developing
• A Await resolution of the symptoms
• R Use self management for Relief of symptoms
• T Learn to Tolerate symptoms that do not
  resolve or cannot be reasonably alleviated

2. WONCA. The European definition of general
practice/family medicine. Barcelona WONCA
Europe,2002.
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1.Skills TrainingWiPP Supporting People
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Self care skills training who needs it?
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Supporting people to self care

• Self Care Skills Training Course
• Key elements
• Problem solving
• Decision making
• Resource use
• Working with health professionals
• Taking action

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Whats included in the course?

• Six elements to training
• Self care, Self Empowerment and health beliefs
• Motivational and behaviour change
• Self esteem and improving confidence
• Psychological aspects of well being (stress,
  anxiety and relaxation)
• Physical Aspects of wellbeing (Healthy Eating and
  Physical activity)
• Mapping Self Care Locally

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Self Care Skills Training Courseto date

• Over 700 people have completed the course
• 22 Men
• 18 from Black, minority, ethnic groups

Ive learnt ways of dealing with stress more and
if Im not as stressed everyone else is going to
be happier (female, young parent group).
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Others skills training for patients
Expert Patient Programme
I've taken control of my diabetes, instead of it
controlling me           
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2. InformationWiPP supporting signposting
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Information / Signposting
Voluntary sector
Peers/friends
Local authority
Walk in centres
Pharmacy MAS
Internet
Local Directory of Self Care Resources (NHS
Direct)
Local social enterprise
Commercial sector
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3. Tools and Devices
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Tools and Devices

• The healthcare professional and patient work
  together to ensure that the patient can be put in
  touch with the relevant agency from where they
  can procure appropriate items
• Self monitoring tools
• Self monitoring devices
• Assistive technology

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4. Support NetworksWiPP supporting Support
Networks
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Support Networks
National support networks
promoting and supporting local partnership
between community and voluntary support groups
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The impact on patients1

• Better symptom management, such as reduction in
  pain, anxiety, depression and tiredness
• Improved feeling of wellbeing
• Increase in life expectancy
• Improvement in quality of life with greater
  independence

1. Department of Health (2005). Self Care A
Real Choice Self Care Support A Practical
Option. London Department of Health.
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The impact on general practice1

• Significant reductions in
• Number of hospitalisations
• Visits to GPs
• AE visits1
• Outpatient visits can reduce by 172
• Medicines intake is regulated or reduced3

1. Lorig K et al. Med Care 19852310441054. 2.
Choy DK et al. Clin Exp Allergy 1999298490. 3.
Charlton I et al. BMJ 199030113551359.
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Supporting and Understanding the Benefits of Self
Care
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Just imagine what can be achieved
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Summary of integrated self care strategy
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www.wipp.nhs.uk