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Know Your Own Health: an integrated pathway approach to self-care John Worth

Know Your Own Health: an integrated pathway approach to self-care John Worth. For people with LTC’s, changing your lifestyle, and making improvements can be really hard. People need a range of things to help them be actively engaged with their health and achieve their goals.

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Know Your Own Health: an integrated pathway approach to self-care John Worth

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  1. Know Your Own Health: an integrated pathway approach to self-care John Worth

  2. For people with LTC’s, changing your lifestyle, and making improvements can be really hard

  3. People need a range of things to help them be actively engaged with their health and achieve their goals

  4. Self care support • Information specific • to their health situation • Shared decision • making aids • Health literacy • Communication skills • Connectedness

  5. Helping people with LTC’s build their skills and confidence to improve their health outcomes: • Online self-care platform • Helps people achieve realistic health goals • Audits peoples’ confidence and ability to care for themselves

  6. Integrates with NHS services and is designed to lead people out of high NHS dependency • Saves clinicians’ time and cost to services • Delivers through mobile and online channels • Complements and integrates with telehealth services and personal health records systems

  7. Case Study: How Somerset supports people to live with pain

  8. Problem: 95,000 in Somerset living with daily pain 13,000 being treated with opioid analgesics Rising prescribing costs: £2.1m in 2010 up from £1.7m in 2008 Resulting in: Over reliance on costly injections and medicines with poor return 1000’s patients in cycle of dependency and hopelessness

  9. Solution: GP’s: Will refer 1,000 high cost patients per annum to pain management service Pain management service: Supports them to live with pain, help them manage the consequences of pain (1-3 appointments) KYOH: Provides the ongoing self-care pathway, support networks, helping people maintain activation levels, sustain improvements to quality of life

  10. KYOH is a single point of access for patient education and self-care services • Coaching: telephone mentoring, group coaching, online courses etc • Care planning: patients understanding their needs, creating action plans • Lifestyle management: support to change behaviours • Social network: safe private networks of peer or family support • Health literacy: encourages ownership of their health information

  11. The self-care eco-system • Telehealth is not a stand-alone intervention • Nor is ‘patient access to their own records’ • They are both part of a diverse self-care eco-system, dependent on integration with a behaviour change model such as KYOH

  12. Self-care checklist • Provide tailored self-care information and interventions to support individuals to achieve personal goals • Make self-care local and community focus • Collaborate: start small, regular valuations of levels of activation, scale gradually

  13. Thank you for listening john.worth@kyoh.org Twitter: johnworth01

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