Self Care because health matters

2. Self Care�because health matters David Colin-Thom�

3. Most care is self care The public say they are active self carers: Over three quarters say they lead a healthy lifestyle (77%) More than eight out of ten (87%) say they often treat their minor ailment themselves Nearly two-thirds (64%) of those who have recently been a hospital patient say they often monitor their acute illness following discharge Of those who have a long-term health condition, 82% say they play an active role in caring for their condition themselves. DH/MORI survey (2005) on public attitudes towards self

4. The self-care continuum BACKGROUND INFORMATION The healthcare pyramid presented on the previous slide divides service provision into three main levels. The aim of this slide is to demonstrate how any particular example of care lies on a spectrum ranging from 100% self care to 100% professional care � the self-care continuum. 100% self care represents daily choices (such as brushing teeth regularly), while 100% professional care represents major trauma (such as neurosurgery). In between these two ends of the spectrum is shared care � healthcare professionals supporting individuals to care for themselves.1 REFERENCE Department of Health (2005). Self Care � A Real Choice: Self Care Support � A Practical Option. London: Department of Health.BACKGROUND INFORMATION The healthcare pyramid presented on the previous slide divides service provision into three main levels. The aim of this slide is to demonstrate how any particular example of care lies on a spectrum ranging from 100% self care to 100% professional care � the self-care continuum. 100% self care represents daily choices (such as brushing teeth regularly), while 100% professional care represents major trauma (such as neurosurgery). In between these two ends of the spectrum is shared care � healthcare professionals supporting individuals to care for themselves.1 REFERENCE Department of Health (2005). Self Care � A Real Choice: Self Care Support � A Practical Option. London: Department of Health.

5. provided that support is made available to them Over nine in ten people are interested in being more active in self care More than half of people who have seen a care professional in the last six months say they have not often been encouraged to do self care A third say they have never been encouraged by the professionals to do self care Over three-quarters said that if they had guidance and support from an NHS professional they would be far more confident about taking care of their own health. (DH/MORI research 2005) People want to do more self care

7. Benefits of supporting self care implications for the care system improved quality of consultations visits to GPs can reduce by 40 to 69% hospital admissions can reduce by up to 50% hospital LOS can reduce number of days in hospital may decrease by up to 80% outpatient visits can reduce by 17 to 77% A&E visits can reduce by 54% medication intake, e.g. steroids, reduced medicines utilisation is improved by 30% health and other outcomes increase in life expectancy better control over symptoms reduction in pain, anxiety and depression levels improvement in quality of life with greater independence days off work can reduce by 50% increase in social capital

8. LTC 50% of people with LTCs have not been told about treatment options 25% do not have care plan 50% medicines are not taken as intended AND 50% do not have a self care plan

10. Some DH self care support milestones Self care covered in National Service Frameworks and in DH supported programmes like DAFNE & DESMOND for diabetes Self care support a core component in the policy for care of people with long term conditions Self care promoted in the new GMS contract, e.g. WiPP Self care promoted in new community pharmacy contract and in expansion of over the counter (OTC) medicines, e.g. statins �Get the Right Treatment� campaigns Health promotion campaigns on smoking, exercise and diet

11. NHS Direct � a multi-format service Telephone service launched in 1998 - now gets over 6 million calls a year Internet service NHS Direct Online launched 1999 - gets over half a million hits a month Digital TV service NHS Direct Interactive covers 60% of the population and has about one million page viewings a month and NHS Direct self care guide delivered to 20 million homes

12. Our health, our care ,our say � a new direction for community services Ambition Enabling health, independence and well being Better access to GP Better access to community services Support for people with longer term needs Care close to home Ensuring reforms put people in control Making sure change happens

13. the Expert Patients Programme will increase capacity from 12,000 course places to over 100,000 and investment in this initiative will be trebled plans to improve self care through assistive technology, health checks, health trainers and NHS Direct primary care providers with a much stronger focus on improving self care through both the Quality and Outcomes Framework and on commissioning services that support self care. Self care considered as one of the highest priorities for future changes to contractual arrangements. professional education to encourage support for individual empowerment and self care with a clear self care competency framework for staff and work with the professional bodies to embed self care in core curricula everyone with a long term condition and/or long-term need for support - and their carers - to routinely receive self care support through networks Self Care Support in the 2006 White Paper

14. Some fantastic Self Care work is going on around the country. However, it can often be fragmented and piecemeal as it is sectioned off into silo�s and dealt with by different people.Some fantastic Self Care work is going on around the country. However, it can often be fragmented and piecemeal as it is sectioned off into silo�s and dealt with by different people.

15. There is a need for this work to be joined up and become central to the work that we do. It needs to be fluid and not static.There is a need for this work to be joined up and become central to the work that we do. It needs to be fluid and not static.

16. Within organisations and between organisations people need to communicate the work they are doing and share so that duplication can be avoided. Within organisations and between organisations people need to communicate the work they are doing and share so that duplication can be avoided.

17. There is a need for a network to ensure that all the self care work, resources and dialogue that is being undertaken is connected, shared and communicated wider. The Working in Partnership Programme would really value your feedback on this approach and whether it is something that you would like more information on. Visit the stand! There is a need for a network to ensure that all the self care work, resources and dialogue that is being undertaken is connected, shared and communicated wider. The Working in Partnership Programme would really value your feedback on this approach and whether it is something that you would like more information on. Visit the stand!

18. SO JUST IMAGINE WHAT CAN BE ACHIEVED!! Self Care is NOT just the responsibility of one person it fits into all areas of health and social care and is the responsibility of everyone! SO JUST IMAGINE WHAT CAN BE ACHIEVED!! Self Care is NOT just the responsibility of one person it fits into all areas of health and social care and is the responsibility of everyone!