• Led by NHS Ayrshire and Arran.
  • Developing a coordinated, systematic approach to self-management across services so that people are supported to take a more active role in their health and health care.
  • Builds on earlier successful work to introduce self-management approaches in chronic obstructive pulmonary disease, heart disease, Parkinson’s disease and diabetes.
  • Rolling out the approach to patients with any long-term condition.
  • Project will run to March 2015.

As part of its earlier work through the Health Foundation's Co-creating Health programme, NHS Ayrshire and Arran has already implemented a model of self-management support in chronic obstructive pulmonary disease, heart disease, Parkinson’s disease and diabetes.

Clinicians have been helped to incorporate self-management techniques, such as shared agenda setting and motivational interviewing, into their routine practice. Patients are also supported to become more confident, active partners in their health care and encouraged to use resources in the wider community, like ongoing voluntary-sector peer support groups.

The organisation is now rolling out the same approach for other conditions, including blood-borne viruses. The team are:

  • Using a patient self-management toolkit designed to support patients with any long-term condition.
  • Using an e-learning module for clinicians.
  • Training lay people and clinical staff who want to become co-facilitators for these two programmes.
  • Training volunteer buddies, as part of a new buddy support scheme.
  • Integrating self-management support with a number of other programmes within the organisation, focusing on telehealthcare, person-centred care, and transforming outpatient services.

The organisation is now working to ensure that its existing achievements are sustained, integrated and become more widely spread. A key priority is to enable a cultural shift, in order to help patients, carers, the public and staff to alter their perceptions, beliefs and expectations about health care. It will also continue to measure the impact of this work on health services and people’s health and quality of life, to see what difference it can make.

Further reading

Co-creating Health

Co-creating Health aimed to embed self-management support within mainstream health services across the UK.

Programme