National Higher Education Demonstration Sites Project with University of the Highlands and Islands, NHS Highland and Skills for HealthProject SummaryThe project has been funded by Skills for Health to enable the development of selfmanagement modules to be delivered by University of Highlands and Islands (UHI). Otherkey partners were invited to be part of the steering group - NHS Education for Scotland,Long Term Conditions Alliance Scotland (LTCAS), and Highland & Argyll & Bute Councils.The project initially produced an audit of self management resources available to staff andpatient and gathered feedback about gaps in resources and educational materials frompotential stakeholders. On the back of the audit, the project mapped self managementcompetencies against the Skills for Health 7 principles of self management and LTCAS 5principles of self management. This has enabled the development of a self managementcompetency framework tool.In response to a need which was emerging from the audit it was agreed to develop 2Masters level modules to be delivered to Lead Practitioners and to deliver using a blendedlearning approach combining online materials and discussions with face to face sessions.Module 1: Enabling Change –introduce participants briefly to the policy position as well asthe skills and knowledge shared between the three different agendas directed towards‘shifting the responsibility for care’ Psychological theories of motivation, attribution, andcoping. This section of the course would consider the theory base which helps us tounderstand some of the important beliefs which determine someone’s view of their illnessand their ability to cope. Consultation—communication styles: using a collaborativeapproach to consultation to facilitate change in client health behaviour. Resources and bestfit. It is important that the characteristics of the resource match the needs andcharacteristics of the client. Service Evaluation – an opportunity to look at some of theservice evaluation tool-kits and consider them in relation to their own service delivery.Module 2: Leading Change— introduce students to models of management and theoriesof change management. Approaches to undertaking evaluation are examined. Students aretasked with reviewing own service delivery against principles of self management. Studentsidentify aspects of their service which would benefit from working in an interagency mannerto facilitate self management. A Review cycle is applied where students select changetarget, change mechanism, evaluative measures and report on the implementation of thechange.A resource pack of learning elements has also been developed as a lasting legacy of theproject. This includes: A HAP (Health Action Plan) - an online tool which supports practitioners in liaison with client or clients individually in identifying and working towards health behaviour goals A self management competency framework tool - a set of competencies developed from Skills for Health competencies and mapped to LTCAS principles of self management, the framework is a self assessment tool designed to assist practitioners to support people to self manage their condition
Ongoing work will continue to further improve the competency toolkit and to embed both thecompetencies and the HAP tool in practice.A self management champion’s network will be developed to support our new champions inpractice and to facilitate change in their workplace and further develop learning resources.The partnership aspect of this project was awarded a QNIS Partners in Practice award in2009 & a QNIS research award in 2011 to explore how an enablement approach has beenembedded into practice by the wider community teams in Australia and then test that modelwithin the Scottish Healthcare system.