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Champions of self-management in care (COSMIC) E30


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Session to demonstrate how the innovative approach of creating ‘Champions of Self-Management’ results in empowered individuals who know what support and services are required for supported self-management to be effective. It will provide participants with the opportunity to test out freely available resources for their own use. Contributed by: Chest, Heart & Stroke Scotland.

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Champions of self-management in care (COSMIC) E30

  1. 1. COSMIC Workshop Champions Of Self Management In Care Understanding Self Management Nicola Cotter – Voices Scotland Lead Dave Bertin – Voices Scotland Trainer
  2. 2. Self Management Definition  “Self management is the successful outcome of the person and all appropriate individuals and services working together to support him or her to deal with the very real implications of living the rest of their life with one or more long term condition...”
  3. 3. Self Management Definition “..It is a concept where the person takes ownership and is central. It is a process of becoming empowered to manage life with long term conditions. It is not an individual action, specific treatment or service; neither can it be delivered by a single organisation.” (Scottish Government/LTCAS, 2008)
  4. 4. Put Simpler... Scottish Government/LTCAS Self Management: The process each person develops to manage their condition. Health Foundation
  5. 5. Supported Self-Management “Self management support can be viewed in two ways:  as a portfolio of techniques and tools that help patients choose healthy behaviours;  and a fundamental transformation of the patient-caregiver relationship into a collaborative partnership.”
  6. 6. Role of the Self Management Champion  The Scottish Government, worked with the Health & Social Care Alliance to develop their strategy for Self Management (Gaun Yersel). Through this, they encourage NHS Boards to develop a culture of support for Self Management.  The Role of the Self Management Champion is to ensure that Self Management is always on the agenda in planning and service development at a local and national level. They will promote Self Management as an effective, person- centred and efficient form of condition management.
  7. 7. Understanding Self Management Defining Self Management Self Management Initiatives Models of Self Management Tackling Tough Choices Gaun Yersel? Maximising your support
  8. 8. Traditional Pathway
  9. 9. Collaborative Pathway
  10. 10. Traditional versus Collaborative Relationship Traditional Professional Traditional Person •Professional chooses information •Person passively receives •No Self Management Collaborative Professional Collaborative Person •Professional supporting, not controlling •Person open to taking control •Self Management achieved with support Traditional Professional Collaborative Person •Professional keeps control •Person keen to Self Manage •Unsupported Self Management Collaborative Professional Traditional Person •Professional keen to hand over control •Person reluctant to take responsibility •Ineffective Self Management &
  11. 11. Questions  Who or what helps someone with a long term health condition stay well?  Who or what makes life feel fulfilled (for someone with a long term health condition)?
  12. 12. Road to Self Management Professional support  Advice Line Nurses  Pharmacist  Money management  Dietician  Physiotherapist or Exercise Instructor  Stop smoking advisor  Occupational therapist Family and community  Wife  Friends  Neighbour  Faith group  Hobby group  Community group •Psychological support •Carers’ centre •GP and Nurses •Peer support group •Self Management Initiatives
  13. 13. Who keeps you well....... Sales You NHS Family Others
  14. 14. And it works! Research shows that supporting self management can improve:  self confidence / self efficacy  self care behaviours  quality of life  clinical outcomes  patterns of healthcare use A review of almost 600 studies found that when people are supported to look after themselves, they feel better, enjoy life more and have less need to visit GPs or hospitals. Ref: “Helping People help themselves” A review of the evidence supporting the use of self-management Health Foundation May 2011
  15. 15. COSMIC Resources Add your logo here