1. Self Management Rhona Millar Marianne Brennan
Network Development Officer, Self Management Programme
Marianne Brennan
Development Officer, Self Management Programme
Health and Social Care Alliance Scotland (the ALLIANCE)
@ALLIANCEScot
@SelfMgmtScot

2. “Our vision is for a Scotland where people who are disabled or living with long term conditions and unpaid carers have a strong voice and enjoy their right to live well.”

3. The ALLIANCE
The ALLIANCE is the national third sector intermediary for a range of health and social care organisations. 
The ALLIANCE has over 2,500 members including a large network of national and local third sector organisations, associates in the statutory and private sectors and individuals.
Range of programmes working across health and social care.
Networking opportunities, wider connections, be part of a collective voice.

4. ALLIANCE Programmes
This makes up 23 programmes within the ALLIANCE

5. ALLIANCE Programmes

6. ALLIANCE Membership

7. Self Management Programme
Gaun Yersel: The Self Management Strategy for Long Term Conditions, 2008
Self Management Fund begins, 2009
The programme grew out of recognition of the learning being generated by Self Management Fund.
Created to share the learning, good practice and innovative ideas being developed. The programme works to develop self management across Scotland and facilitate your conversations about self management.
Self Management Network Scotland (SMNS)
Development Work
Working across a range of sectors such as public libraries and prisons

8. Learning from Gaun Yersel!
This year marks 10 years of Gaun Yersel!
Still highly relevant, highly utilised strategy which was written by people living with long term conditions, not policymakers.
Self Management is underpinning more and more national strategies
Realistic Medicine
Realising Realistic Medicine
Health Literacy Action Plan

9. The 5 Principles of Self Management
“Be accountable to me and value my experience”
Evaluation systems should be ongoing and shaped by my experience. They should be non judgemental and focus on more than medical or financial outcomes.
“I am the leading partner in management of my health”
I am involved in my own care. I, those who care for me and organisations that represent me, shape new approaches to my care.
“Clear information helps me make decisions that are right for me”
Professionals communicate with me effectively. They help ensure I have high quality, accessible information. They also support my right to make decisions.
“I am a whole person and this is for my whole life”
My needs are met along my life journey with support aimed at improving my physical, emotional, social and spiritual wellbeing.
“Self management is not a replacement for services. Gaun yersel doesn’t mean going it alone”
Self management does not mean managing my long term condition alone. It’s about self determination in partnership with supporters.
Marianne:
As mentioned, Gaun Yersel was co-produced with people who have lived experience of long term conditions and 5 principles were developed, these were and still are what people need to be able to self manage.
Be accountable to me and value my experience: It doesn’t matter if you are a GP, Community Care Worker, or a Civil Servant, you should be accountable to the person with LTC’s and value their experience when making decisions affecting them. The health professional is an expert in the condition, but the person is an expert in their life – it is a combination of the two expertise which bring about successful self management.
I am a whole person and this is for my whole life: When someone is diagnosed with a LTC, it can be really difficult to come to terms with the fact that it is going to be with them for their whole life. Professionals need to look towards the person’s whole life too, rather than a quick fix. It is not just about blood pressure readings and BMI – it is about exercise, peer support, family – these are the things which keep people well.
I am the leading partner in the management of my health: Someone with a LTC should feel part of a team, of which they are the leading partner. Imagine a football match- historically, patients have been the fans, on the side lines looking on. This principle is saying that the patient should be the team captain, playing a meaningful, leading role.
Clear Information helps me make decisions that are right for me: The information given must be given at the right time, it must be accessible and the person must be supported to understand the information.
It is not a replacement for services. Gaun Yersel doesn’t not mean going it alone. This is a common misconception due to austerity and talk of increasing burden on the NHS but self management is not self management unless it is supported in some way.

10. Self Management Reflective Practice
On average, an individual will spend 4 hours per year in front of a health professional
That means…
8756 hours are spent self managing.

11. Self Management Reflective Practice
At the end of the session delegates will have:
A clearer and broader understanding of what self management means as a person-centred approach
Taken time to explore what they can do in their role to support individuals to self manage and what support they need to be able to work this way
Knowledge of where to find further support and resources about self management
Made plans about what actions to take next

12. Why Reflective Practice?
Reflective practice is stepping out of practice..
To reflect back in on practice…
With the idea of improving practice.

13. What they said…
“Meeting to discuss different professionals to understand their perspective/challenges and solutions re self management”
“Listening and being able to recognise other people's experiences and they feel the same”
“Reflection on current working. Realisation I am doing a good job and best I can for my patients”
“Able to share and compare stories and experiences with colleagues”
“Been given time to reflect on the positive impact of self management and challenges that can impact people”
“I am not always good at reflecting on my practice and it helped my to do this and realise a lot of my approaches are positive”

14. Increasing Referrals Explore the role of the Third Sector
Make the Third Sector aware of your role
ALISS
Self Management Funded Organisations:
Lorne and Oban Healthy Options
Argyll and the Isles Coast Countryside Trust
MS Centre Mid Argyll
Lomond and Argyll Advocacy Service (LAAS)

15. What’s in it for you?
ALLIANCE Membership – free to join as a Professional Associate
Access to the ALLIANCE 23 Programmes
Access to a membership of over 2,500
Join the Self Management Network Scotland – Free to join
Meet with the Self Management Team
Host a Self Management Reflective Practice
More than Medicine Events
Get your voice heard!

16. Thank You www.alliance-scotland.org.uk @ALLIANCEScot @SelfMgmtScot
Telephone