Documents

Commissioning framework for health and well-being1. Commissioning framework for health and well-being

A framework for everyone involved in commissioning local services to improve the health, well-being and independence of everyone living locally.

Supporting people with long term conditions to self care: A guide to developing local strategies and good practice2. Supporting people with long term conditions to self care: A guide to developing local strategies and good practice

This document from Department of Health sets out the challenges facing health and social care organisations and demands wholesale change in the way they think, train, design and deliver services. It describes various approaches to self care and how the NHS can support people to self care. It describes key actions in developing a sustainable self care strategy and gives examples.

Supporting people with long term conditions: commissioning personalised care planning - a guide for commissioners3. Supporting people with long term conditions: commissioning personalised care planning - a guide for commissioners

This guide for commissioners is part of the Putting People First, Transforming Adult Social Care policy. It provides commissioners of health and social care services with the information and support they need to fulfil their obligation to embed personalised care planning in their localities. It describes what person centred and integrated care planning is, what the benefits are and what this means for them as commissioners. Care planning is an essential element of supported self care.

Generic choice model for long term conditions4. Generic choice model for long term conditions

This document offers a best practice generic model with associated case studies, for commissioning services for those with long-term conditions to support choice and personalisation of care.

A framework for commissioning support for self care5. A framework for commissioning support for self care

A framework to support local commissioning of self care services providing advice and support to commissioners and service providers. It is based on a workshop held at Commissioning Self Care for Life conference held in October 2007.

Common core principles to support self care: a guide to support implementation6. Common core principles to support self care: a guide to support implementation

The principles were developed by key stakeholders including people with long term conditions. They recognise that people are best placed to understand their own needs and how to meet them and are intended to support self care in its broadest sense.

Research evidence on the effectiveness of self care support7. Research evidence on the effectiveness of self care support.

The evidence base explores a large number of systematic reviews (160), primary research studies (240) and surveys covering the different types of self care support interventions. The reviews and studies also cover a range of health problems, conditions and issues including arthritis, asthma, cancer, depression, diabetes, mental health, obesity, pain, other long term conditions, minor ailments and health promotion. Each systematic review includes several primary research trials, so that the evidence runs into thousands of primary studies.

Overall the evidence suggests that self care support can result in beneficial health outcomes for people and more appropriate use of health and social care services. It should help ensure that self care support becomes an integral part of an effective and efficient healthcare system throughout the country.

Self Care Support. The evidence pack: summary of work in progress (2005-07)8. Self Care Support. The evidence pack: summary of work in progress (2005-07)

PowerPoint presentation from Department of Health highlighting the evidence from the report above.

9. Patients at risk of re-hospitalisation

Key to the self care strategy is finding a way of identifying patients before their condition deteriorates in order to avoid unplanned hospital admissions.

PARR (patients at risk of re-hospitalisation) is a software tool that helps PCTs use routine data to predict the risk of emergency re-admission to hospital. It uses that patients recent admissions data (up to 4 years) to calculate the likelihood of re-admission over the next 12 months.

The latest version, PARR ++ was released in November 2007.


Whole Systems Demonstrators: An Overview of Telecare and Telehealth10. Whole Systems Demonstrators: An Overview of Telecare and Telehealth

This programme, funded by the Department of Health, is exploring the possibilities opened up by a truly integrated system of health and social care supported by telecare and telehealth. It will lead to a better understanding of the benefits of this type of assistive technology and the impact it will have on the whole system. It aims to discover how technology can help people manage their own health and retain their independence.

Supporting self care - a practical option: Diagnostic, monitoring and assistive tools, devices, technologies and equipment to support self care11. Supporting self care - a practical option: Diagnostic, monitoring and assistive tools, devices, technologies and equipment to support self care

This document is a summary of a review report from Department of Health in 2005. It looks at the range of tools, devices, technology and equipment used to support self care. Key message is that solutions must be needs-led rather than technology driven.

  • Download the report (PDF) Department of Health, 2005.
  • Download Part I (PDF) which gives a quick overview of self care devices and their implementation issues.
  • Download Part II (PDF) which gives some details on the devices and some details on their research.
  • Download Part III (PDF) which gives additional information on the devices where available and additional research references for those who want more information.

Partners in Care: A Guide to Implementing a Care Planning Approach to Diabetes Care12. Partners in Care: A Guide to Implementing a Care Planning Approach to Diabetes Care

The Year of Care model, developed by the National Diabetes Support Team, helps people to exercise choice and be partners in decisions about their own care, and supports them to self care effectively. It makes routine consultations between clinicians and people with long term conditions truly collaborative, through care planning, and ensures that the local services people need and want to support this are identified and made available, through commissioning.

The first year of this three-year project used the pilots as a ‘test bed’ for these ideas. They have produced a detailed commissioning model for care planning diabetes, which is generic for all long term conditions, and two practical guides to the programme and to care planning.

Getting to Grips with the Year of Care: A Practical Guide13. Getting to Grips with the Year of Care: A Practical Guide

This guide is designed to help commissioners, clinicians and networks interested in setting up the Year of Care model locally. It concentrates on what needs to be put in place and the key role of commissioning.

  • Download the report (PDF) Diabetes UK, NHS National Diabetes Support Team, Department of Health, Health Foundation, 2008.

Pharmacy in England: Building on strengths delivering the future14. Pharmacy in England: Building on strengths – delivering the future

This White Paper sets out the Government’s vision of the future role pharmacists can play in delivering world-class pharmaceutical services. This includes pharmacists acting as centres within the community promoting and supporting healthy living and healthy lifestyle, providing advice and support on self care, and offering new services to those with minor ailments and long term conditions such as routine monitoring, vascular risk assessment and support for making best use of their medicines.

Raising the profile of long term conditions care15. Raising the profile of long term conditions care: A compendium of information

This document updates the first compendium of information on long term condition. It will further inform all those who are involved in both commissioning and providing care and support services for people with long term conditions. It focuses on the outcomes that people with long term conditions said that they wanted from services and describes how more effective management of long term conditions in a number of local communities is delivering high-quality and personalised care. It summarises the key systems and levers that are crucial to driving forward further improvements in care for people with long term conditions.

Promoting optimal self care16. Promoting optimal self care

This handbook brings together the evidence base, offers practice examples and advice on what healthcare professionals can do, and makes a convincing case for self care to be at the heart of new medical professionalism.

Condition management programme17. Condition management programme

This is part of the ‘Choices Package’ provided by JobCentre Plus in partnership with the NHS. The programme is available to anyone claiming Incapacity Benefit or Income Support because of a health condition.

Self care strategy example18. Self care strategy example

This self care strategy example has been anonymised and is designed for local teams to adapt and adopt.

Self care protocol example19. Self care protocol example

This self care protocol example has been anonymised and is designed for local teams to adapt and adopt.

Bristol joint commissioning strategy for long term conditions 2008-1120. Bristol joint commissioning strategy for long term conditions 2008-11

The purpose of this 3 year Strategy is to understand and plan for the future needs of people with physical and sensory impairments, including those living with long-term neurological conditions in Bristol.

NHS Dorset self care resource pack<21. NHS Dorset self care resource pack

This resource pack is designed for adoption and adaptation by localities in Dorset to ensure that mechanisms are in place to support people to self care effectively.

22. NHS Direct, working with Pfizer Health Solutions

Offers long term conditions services which help support people to follow their personal health care plan and self manage their condition. There is a section specifically for commissioners of health services.

23. Pfizer Health Solutions Own Health®

This is a group within Pfizer Ltd. that operates independently of the medicines business. They provide programmes, delivered by teams of specially trained staff, which offer telephone-based coaching and individual support to people with long term conditions such as COPD, heart failure, diabetes, stroke and cancer. Results for the programme, which was commissioned by Birmingham East and North PCT and which has been running for the past two years, show significantly improved clinical outcomes and reduced healthcare resource utilisation.

24. Long term Conditions Collaborative Programme

This document defines the principles of self-management, lists ten high impact improvement actions and has a very useful list of references.

25. Expert Patients Programme

By reviewing current academic papers and reviews and carrying out a survey of 1,000 course participants over the last two years, this report shows clearly that there are economic and personal health benefits to be had from self care. It also concludes that greater economic benefits are likely if self-care becomes an integral part of the patient care pathway.

26. Self care: Some helpful thoughts

Booklet written by Dr Stephen Tomkins. It is also available in other formats, including audio, large print and easy read versions.

27. SMILE (Self Management In the Local Environment)

This report describes a successful project in Dorset, led by Dr Steve Tompkins, to provide support in the community for frail older people. The support is tailored to a patient’s individual needs and is delivered by a small team.

28. The self care toolkit

This is a simple information toolkit to be used as a guide to getting people started on self-care

29. Health e-Academy

The Self Care on-line course for health professionals looks at four elements of supporting self care and self management; skills; tools, advice; and networks.

30. How to deliver high-quality, patient-centred, cost-effective care

Consensus solutions from the voluntary sector. Based on evidence collected by ten leading voluntary sector organisations, this report identifies five key themes that health and social care need to address in order to ensure quality and sustainability.

31. APPG on LTC

This All Party Parliamentary Group for Long Term Conditions will soon be set up with the increasing support of MPs and Peers from all political parties.

32. Self care WebEx

This WebEx discusses Dr Hannan Amir's practice approach to empowering patients to self-care, which forms the 1st half of the WebEx recording. The second part of the WebEx is about care planning.

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