1. A Strategic Approach to Self Management
Argyll & Bute
A Strategic Approach to Self Management
Support People to Live Better & Active Lives
21st November 2018

2. What are we doing in Argyll & Bute?

3. Self management courses
Working with Versus Arthritis to deliver Self Management courses across Argyll & Bute, SLA in place
5 weekly courses delivered in localities to support people to manage their long term condition additional week
Pain courses also delivered
Versus Arthritis coordinates and trains volunteers
Coordinates course delivery
Currently exploring development of a new model that will be more sustainable going forward.

4. Self Management Partnership
New and evolving Partnership
Membership made up of Arthritis Care, LOHO, MS centre, North Argyll Carers, TSI, A&B HSCP
Recent funding award from the Alliance to support the developing Partnership and development of a sustainable model

5. Self Management Toolkit
Developed in partnership with a Highland Self Management partnership called LGOWIT. A&B involved in its development and it has been used locally to support the self management. Now looking at how to embed this within our services as well.

6. Self Management Toolkit
3 parts
Part 1 Self management Information
Part 2 Toolkit
Part 3 Personal Plan

7. Part 1 Allowing people to take control
Living with a Long term condition, Pain, Fatigue, Anxiety, depression
5 steps of change, Understand your condition, acceptance, what matters to you, being positive, how to make change happen.
Physical activity and healthy eating

8. The Tools Part 2, Toolkit 7 tools Know your symptoms
Setting personal goals
Pacing
Planning for setbacks
Manage your medication
Distraction techniques
Relaxation techniques
The
Tools

9. Part 3, Personal Plan 5 tools/templates to the plan,
Know your symptoms
Setting personal goals
Pacing
Planning for setbacks
Manage your medication

10. Florence Text Monitoring

11. Pain Toolkit In 2016 38 Physios and 11 SM volunteers trained
Last year 15 workshops held with 103 participants very positive feedback.
Further work still to be done to embed within our NHS services. Included as part of SM courses

12. Self Management Strategy
Background
NHS Highland Strategy 6 years ago
Developed in partnership with LGOWIT and NHS Highland
Presented to NHS Highland Board, but not really ever embedded
Scoping exercise carried out
It was felt that something was needed that would bring different activity together and help us to focus on the different aspects of self management with strategic buy in and support

13. Self Management Strategy
Strategy Planning Workshop held in August 2018,
What is Current happening?
What are our Gaps ?
What we should do more of to help people self manage?
Key themes and actions came out of the workshops

14. Self Management Strategy
Key themes
Simpler and Clearer Processes
Peer support and Empowerment
Information and Support
Transformational change
Workforce Development
Focus on What Keep us Well
Right person, Right Place right time

15. Self Management Strategy
Next steps
Engagement with people living with LTCs, focus groups on what should be in the strategy
Engagement with staff including GPs
Map existing assets and opportunities, eg GMS contract, reablement, 3rd sector, pharmacy
Short life working group
Engagement and consultation workshops/focus groups
Strategic Ownership and Buy in
Launch Strategy April 2020
Right person, Right Place right time

16. It remains a challenge to get self management embedded in everything that we do, but we must keep driving this culture change.
An new approach that will, in time, be how we always engage and collaborate.
most importantly of all is to find your local champions and enthusiasts, wherever you can find them.
Could you be a champion? What can you do to support us to embed self management?