1. Clinical Lead Self Care and Prevention
through patient and staff activation
October 2015
Enid Feather
Clinical Lead Self Care and Prevention

2. Aims of Presentation Know what is meant by self care and prevention
Understand some of the ways self care can be encouraged and supported.
Look after yourself information
Open a discussion on ideas for developing support for self care

3. Context NHS success at saving lives so people live longer
Many with a significant proportion of poor health
More people with more than one long term condition
Some conditions attributable to lifestyle choice
More people with caring responsibilities
Increased demands on health and social care

4. What is self care? Ref Health Care Forum.
‘Self Care is a lifelong habit
for patients and the public
dealing appropriately, effectively and safely
with their own minor ailments
and long term conditions,
taking preventative measures to stay fit,
and maintaining good physical and mental
health and wellbeing.’
Ref Health Care Forum.

5. The Self Care Continuum

6. Prevention
Primary prevention reduces the risk of health problems by reducing lifestyle risks or targeting high risk groups
Secondary prevention intervenes in the early stages of disease to reduce the impact on function and independence
3. Tertiary prevention prevents or delays disability from long term conditions.

7. The Self Care Continuum
Self management
Self care
Medical emergencies
Management of general health and illnesses
Shared roles for people with long term conditions
Opportunity during recovery and rehabilitation
Primary prevention
Secondary and
tertiary prevention

8. A social and medical model
Self management
Self care
Medical emergencies
Health and wellbeing managed in a social context
Health and wellbeing managed in a social context with medical model support
Medical model
Social model
Social and medical model
Medical model

9. Self care and prevention is for everyone

10. No clear road map for the journey

11. What works?

12. The King’s Fund House of Care

13. What works? Finding out what is important to the person
Involving people in decision making
Structured information
Joint goal setting, plans and reviews
Self monitoring symptoms and escalation plans
Support with social, emotional and physical impacts of illness
Opportunities to share and learn from others

14. What do engaged patients look like?

15. Benefits of engaging patients
Can have a positive impact on people’s
Physical symptoms and clinical outcomes
Ability to cope day by day
Attitudes and behaviours
Quality of life and health and wellbeing
The evidence that this reduces costs is variable

16. Self care and management model

17. What are we doing in AW&C?
Promoting the self care and prevention message
Working with staff and services across the area
Engagement with service users
Linking with partner organisations for win win
Establishing a staff self care network
Improving self care information on the CCG public website
Including in service specifications
Building into the New Models of Care

18. Look after yourself Maintain a healthy weight Keep active
Drink alcohol sensibly
Hobbies and interests
Contact with family and friends
Resist smoking
For information look on NHS Choices

19. The AW&C Self Care Network
The link to sign up is Please encourage people to join.

20. NHS Choices Your Health, Your Choice
The link is Health A-Z Services near you Live Well Health news Interactive tools/apps Care and Support

21. Community Health Maps
The link to community health maps is Please encourage people to use

22. Self Care Week 16-22 November 2015
Bradford and Craven Programme
organising public events and resources
Developing Self Care week packs
Public events at Keighley Shopping Centre and Craven Court in Skipton
Promotion of Pharmacy before and during self care week
Encouraging displays in
GP practices - Leisure Centres
Schools and libraries Local Colleges

23. Questions and discussion

24. References
Person Centred Care: From ideas to action, The Health Foundation, October 2014
The Self Care Continuum adapted from the Self Care Forum Website
The need for an integrated approach to supporting patients who should self manage, Jim Phillips, Self Care Journal, March 2012
Delivering better services for people with long term conditions: Building the house of care, The Kings Fund October 2013
Bradford District and Craven Self Care and Prevention Programme Brief. May 2015
The NHS Constitution March 2013
Five Year Forward View October 2014
The Health and Social care Act 2012