This report gives the findings from an independent evaluation of phase 1 of our Co-creating Health self-management support improvement programme.
The first phase of Co-Creating Health began in 2007. It was a three year initiative in eight sites across the UK that aimed to demonstrate the impact, on clinicians and patients alike, of integrating self-management support into routine care for people with long-term conditions.
The evaluation of the programme provides valuable insights into what worked and the further challenges health systems need to address to support people to develop confidence in managing their long-term conditions themselves.
Some of the key findings from the evaluation were:
- The self-management support programme for patients improved the activation and quality of life of people with long-term conditions.
- Adopting self-management approaches requires long-term behaviour change, and the interventions to achieve these also need to be long-term.
- Self-management support must be normalised into existing ways of working within health economies.
- Techniques to support self-management, including agenda-setting and goal-setting, were well received and implemented following training.
- Co-delivery is an important way of changing patients' and clinicians' perceptions of their roles.
We have funded a second phase of the programme, which continued in seven of the phase 1 sites until the end of 2012, building on the learning from phase 1. The evaluation of phase 2, Sustaining and spreading self-management support, was published in September 2013.
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