Joining up selfcare in the NHS

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Joining up self-care in the NHS

• Professor Mike Pringle

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Types of self care support
Information and Knowledge
Training and
Facilities and
SUPPORT
networking
equipment
CARE
Prevention/
Interactive online courses, information on health
TV
promotion
Diagnosis
Home healthcare literature
Decision on
Telephone
helpline
Interactive video on
action to take
treatment decisions
Treatment/
First aid manuals

software tools for
medication
mental health self-help
Maintenance
Self-management in post hospital care
and
rehabilitation
Monitoring and evaluation
Self-maintained
medical records
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Types of self care support
Information and Knowledge
Training and
Facilities and
SUPPORT
networking
equipment
CARE
Prevention/
Interactive online courses, information on health
TV
Lifestyle courses Personal Trainers
promotion
Diagnosis
Home healthcare literature
Training in self-diagnosis
Decision on
Telephone
helpline
Decision support Patient peer groups
Interactive video on
action to take
treatment decisions
Internet discussion
groups
Treatment/
First aid manuals
First aid courses
software tools for
self care courses
medication
mental health self-help
Maintenance
Self care
Self-management in post hospital care
community groups
and
rehabilitation
Monitoring and evaluation
Self-maintained
Supermarket MOTs
medical records
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Types of self care support
Information and Knowledge
Training and
Facilities and
SUPPORT
networking
equipment
CARE
Prevention/
Interactive online courses, information on health
TV
Lifestyle courses Personal Trainers
Gyms Personal Portals
promotion
Diagnosis
Home healthcare literature
Home pregnancy test Blood and urine tests
Training in self-diagnosis
Decision on
Telephone
helpline
Decision support Patient peer groups
Personal Portals Decision Algorithms
Interactive video on
action to take
treatment decisions
Internet discussion
groups
Treatment/
First aid manuals
First aid courses
First aid kit OTC
software tools for
self care courses
medication home
medication
mental health self-help
dialysis
Maintenance
Self care
Mobility and
Self-management in post hospital care
community groups
household aids
and
rehabilitation
Monitoring and evaluation
Self-maintained
Home or public access
Supermarket MOTs
medical records
BP monitors Haemoglobin A1c blood test
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The self-care jigsaw
skills
confidence
professional back-up
information
peer support
equipment
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Obstacles to self care
Public lack of skills and confidence
Professionals who are unwilling to empower and
enable patients
skills
confidence
professional back-up
information
Lack of universal access to IT
peer support
Measurement of NHS performance focused on
conventional services
User-friendly equipment not always available
equipment
Expertise of peers not recognised
Plus lack of integrated, whole system, approach
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What is Self-care?

• Self-care is a lifelong habit and culture. It is
  the action individuals take for themselves and
  their families to stay healthy and manage minor
  and chronic conditions, based on their knowledge
  and the information available and working in
  collaboration with healthcare professionals where
  necessary.

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A spectrum of care

• Making healthy choices of diet, exercise etc.
  which allow maintenance of health, prevention of
  ill health and effective use of medicines and
  health care interventions, including equipment
  where necessary
• Self-treatment involving responsible use of
  mediation (OTC and Rx)
• Self-management of symptoms of disease alone, in
  partnership with professionals or others with
  same condition
• Self-diagnosis in making risk assessments of
  symptoms, screening and assessing these if needed
  with professionals who need not be a doctor

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Successful self-care

• Attitudes of individuals must be non-dependent
  and responsible
• Attitudes of healthcare professionals must
  change to facilitate this
• Information and education in schools
• Applies to both well and ill people encompassing
  proactive promotion of wellness and not just
  crisis management of illness
• Needs choices to be available
• Needs NHS to support individual choices even
  before entering the NHS

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Successful self-care
Leads to effective access to next stages
Self-care behaviour
Needs support in the form of information educatio
n and advice
Wellness Empowerment
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Joining up self-care in the NHS

• Professor Mike Pringle