COSMIC WorkshopChampions Of Self Management In Care

Understanding Self Management

Nicola Cotter – Voices Scotland Lead

Dave Bertin – Voices Scotland Trainer

Self Management Definition

“Self management is the successful outcome of the person and all appropriate individuals and services working together to support him or her to deal with the very real implications of living the rest of their life with one or more long term condition...”

Self Management Definition

“..It is a concept where the person takes ownership and is central. It is a process of becoming empowered to manage life with long term conditions. It is not an individual action, specific treatment or service; neither can it be delivered by a single organisation.”

(Scottish Government/LTCAS, 2008)

Put Simpler...

Scottish Government/LTCAS

Self Management:

The process each person

develops to manage

their condition.

Health Foundation

Supported Self-Management

“Self management support can be viewed in two ways:

as a portfolio of techniques and tools that help patients choose healthy behaviours;

and a fundamental transformation of the patient-caregiver relationship into a collaborative partnership.”

Role of the Self Management Champion  The Scottish Government, worked with the Health & Social

Care Alliance to develop their strategy for  Self Management (Gaun Yersel). Through this, they encourage NHS Boards to develop a culture of support for Self Management.

The Role of the Self Management Champion is to ensure that Self Management is always on the agenda in planning and service development at a local and national level.  They will promote Self Management as an effective, person-centred and efficient form of condition management.

Understanding Self Management

Defining Self Management

Self Management Initiatives

Models of Self Management

Tackling Tough Choices

Gaun Yersel?Maximising your support

Traditional Pathway

Collaborative Pathway

Traditional versus Collaborative Relationship

Traditional ProfessionalTraditional Person

• Professional chooses information• Person passively receives

• No Self Management

Collaborative ProfessionalCollaborative Person

• Professional supporting, not controlling• Person open to taking control

• Self Management achieved with support

Traditional ProfessionalCollaborative Person

• Professional keeps control• Person keen to Self Manage

• Unsupported Self Management

Collaborative ProfessionalTraditional Person

• Professional keen to hand over control• Person reluctant to take responsibility

• Ineffective Self Management

cosmicresources.org.uk & chss.org.uk/voices_scotland/cosmic

Questions

Who or what helps someone with a long term health condition stay well?

Who or what makes life feel fulfilled (for someone with a long term health condition)?

Road to Self Management

Professional support Advice Line Nurses Pharmacist Money management Dietician Physiotherapist or Exercise Instructor Stop smoking advisor Occupational therapist

Family and community

Wife Friends

Neighbour Faith group

Hobby group Community group

• Psychological support

• Carers’ centre• GP and Nurses• Peer support group

• Self Management Initiatives

Who keeps you well.......

Sales

You NHS

Family Others

And it works!

Research shows that supporting self management can improve:

self confidence / self efficacy self care behaviours quality of life clinical outcomes patterns of healthcare use

A review of almost 600 studies found that when people are supported to look after themselves, they feel better, enjoy life more and have less need to visit GPs or hospitals.

Ref: “Helping People help themselves”A review of the evidence supporting the use of self-managementHealth Foundation May 2011

COSMIC Resourceswww.cosmicresources.org.uk

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