Co-creating Health

1. Co-creating Health Improving Outcomes by Helping People Take Control

2. Whyself-management support? Life with a long term condition: the person’s perspective Problem solving: Time limited consultation/s providing motivational support Interactions with the service: planned or unplanned Care planning: A system of regularscheduled appointments, providing proactive structured support Care pathways: providing specific interventions NB : People may also be accessing a wide variety of other support e.g. from within their communities

3. Presentation title set in header Co-Creating Health Achieve measurable improvements in the quality of life of people living with long term conditions and improve their experienceof health services by embedding self management support within mainstream health services.

4. The Chronic Care Model • The problems: • Lack of care coordination • Lack of active follow-up • Patients inadequately trained to manage their illnesses ‘Overcoming these deficiencies will require nothing less than a transformation of health care, from a system that is essentially reactive -responding mainly when a person is sick - to one that is proactive and focused on keeping a person as healthy as possible.’

5. The Chronic Care Model Supported self-management happens here

6. The Chronic Care Model Understanding have role; confident and capable in role Supporting people on their journey of activation Supported self-management happens here

7. Presentation title set in header The Evidence • Insert some titles and pictures of articles and of Coventry evaluations – overlapping in a collage. Source: J.Hibbard, University of Oregon

8. The Three Enablers • Becoming active partners • Making change • Maintaining change • Agenda setting • Identifying issues and problems • Preparing in advance • Agreeing a joint agenda • Goal setting • Small and achievable goals • Builds confidence and momentum • Clinical? • Goal follow-up • Proactive • Soon • Regular reinforcement

9. An Integrated Approach

10. Presentation title set in header Service Improvement Programme

11. Presentation title set in header Advanced Development Programme “It’ s a change from the traditional approach where say ‘today we’re going to do this”, and the patient says “you’re the boss”. We used to wonder why that wasn’t working” • Practice positively influenced: • assessing patients’ confidence to self manage • supporting patients to improve their confidence, agenda setting • jointly agreeing the purpose of consultation, setting treatment goals • collaborative problem solving and follow up. Community matron ‘I think the majority of people took away and started to use some of the skills but not all of them. But a few actually changed a lot of practice. Clinician tutor

12. Presentation title set in header Self-management Programme • Statistically significant changes in: • positively engaged with life • adopting a more constructive attitude/approach towards their condition • having a more positive emotional well being • using self-management skills and techniques “I used to go to the doctor and say ‘What are you going to do to fix my problem?’, but now I’m saying like, ‘I’m not sure these particular painkillers are working the way we hoped, can we try something else?’ ” Person living with a long-term condition

13. Presentation title set in header Conclusion ‘I’d like to thank you both for giving me back the life I thought I’d lost, its made me realise I was holding myself back’ Person living with a long-term condition

14. Transforming the dynamicworking together to do things differently