Co-creating Health

Impact

Early evidence from phase one shows that the programme has been well received across our test sites, helping to spread knowledge and embed good practice in self management support.

Involvement in Self Management Programmes (SMPs)

The target number of people to complete the SMP course in phase one was 1,114. By the end of July 2010, 882 people had completed the programme. 

Participant surveys show that after attending the Self Management Programme people report statistically significant changes in positive engagement in life, adopting a more constructive attitude and approach to their condition, having more positive emotional well being and using self management skills and techniques.

Involvement in Advanced Development Programmes (ADPs)

The phase one target for each site was to have trained 65 clinicians – a total of 520 by August 2010. At the end of May 2010, 437 had completed the ADP. The evaluation has shown that after completing the ADP training, clinicians are more likely to apply self management support practices in their consultations.

Having completed the Advanced Development Programme, clinicians commonly report an increased motivation to improve their practice and greater belief that improvement is possible, increased job satisfaction, and a greater sense that they are now ‘helping people’ in a way that reflects why they came into healthcare.

Particular examples of impact include:

  •  In Wandsworth, people living with depression used significantly fewer consultant appointments and bed days and had reduced anxiety and depression.
  • In Haringey and Islington, people living with diabetes had improved clinical outcomes (glucose control, lipids and renal function) over one year after participating in Co-creating Health.
  • In Torbay, people living with depression were less likely to have consultations with specialists at the mental health trust.
  • Several sites have reported reduced DNA (did not attend) rates for appointments since Co-creating Health was introduced, particularly where individuals had received agenda-setting prompts prior to their appointments.
Comments
I'd be really interested in some background literature in co-creation. Have read the piece by John Bessant and Lynne Maher - what is the literature that the Helath Foundation programme is based on?
Hi Juliet - thanks for your comment. We commissioned an evidence review on Self Management Support which will give you the background you are looking for. You will find it here:
http://www.health.org.uk/publications/evidence-helping-people-help-themselves
The work across these sites looks really interesting. However, they remain condition/symptom specific and I am involved in writing a strategic framework that really needs to scale up self management approaches so that we can start to address the cultural issues and expectations of professionals and people with LTCs alike.
Can you suggest where might be at a similar stage or if you are involved in the scaling up of this approach.
Dear Lynne

Thank you for your message and interest in the CCH programme. All of the sites are currently working to embed self management support and spread to other conditions. I suggest that you speak to one of our Self Management Support Fellows so please send me an email and I can put you in touch. We are currently uploading their details onto our Self Management Support Resource centre which you may find helpful for information: www.health.org.uk/sms
I found this site while looking for funding streams and financial backing to support a health care project that would give better access to care and support, I wonder if this would be something relevant to this site or if anyone is able to point me in the right direction. Many thanks.
Tthank you , my email address is below
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