Sustaining and spreading self-management support: Lessons from Co-creating Health phase 2 – The Health Foundation – September 2013

Posted on September 17, 2013. Filed under: Chronic Disease Mgmt | Tags: |

Sustaining and spreading self-management support: Lessons from Co-creating Health phase 2 – The Health Foundation – September 2013

“This report contains the independent evaluation of the second phase of our Co-creating Health improvement programme. The evaluation, conducted by Firefly, provides valuable insight into how to sustain changes in clinical practice to more effectively support people with long-term conditions.

Through the Co-creating Health programme, the Health Foundation has invested £5 million over five years to test how to embed and sustain self-management support in primary and secondary care across a range of long-term conditions. The Co-creating Health model incorporates self-management training for people with long-term conditions, training in self-management support skills for clinicians, and a service improvement programme to put systems and processes in place to support patients and clinicians in their self-management activities.

Firefly’s evaluation of the programme concludes that to have the best chance of success there needs to be a strategic, whole-system approach to implementation of self-management support. The evaluation also highlights:

the benefits of training teams rather than individuals
the importance of support from senior leadership within the clinical community
the added value of integrating with concurrent initiatives
the value of providing support for both patients and clinicians after their initial self-management training as they seek to embed new habits.

The Co-creating Health model for supporting self-management can have a profound and positive effect on patients, clinicians and health services but, as the evaluation shows, making the necessary changes can be hugely challenging. However, Co-creating Health offers a theoretically robust, well evaluated model with tried and tested training, techniques and tools to successfully support people to self-manage.”

… continues on the site

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