Self Care Champions

Our Self Care Champions support our work by providing their advise, expertise and skills. Meet them below.

Are you a Champion for Self Care? Do you want to join the Self Care Movement? Email libby.whittaker@selfcareforum.org

We know from research that patients are ready and willing to take more responsibility for managing their own health but they need better information and more reassurance that they are doing the right thing. Self care does not mean no care - it means empowering individuals to make an informed choice and giving them access to and advice on the different courses of action they can take.

Mike Pringle is President of the Royal College of General Practitioners, where he was Chair of Council from 1998-2001. He is Emeritus Professor of General Practice in the University of Nottingham and a retired general practitioner. From 2004 – 2006, Mike was chairman of the Joining Up Self Care (JUSC) Project Steering Group, a self care aware action research project in a PCT. Mike helps to run CHEC (Collingham Healthcare Education Centre), an innovative primary care development project.

It's frustrating that while nine out of ten people are prepared to initially treat minor ailments themselves the vast majority give up on their treatments in favour of a GP consultation. This is very often because they just don't understand that most minor ailments will get better on their own without the need to see a doctor.

I have worked in a large busy general practice in Crawley, Sussex for all my professional life. Primary care offers new challenges with every patient, potentially serious illness alongside those who are important for different reasons. One of my principal interests is health education, trying to help people understand and manage their problems better and more appropriately.

I became a trainer in the 1980′s, and later director of one of the UK’s largest vocational training schemes, working with young doctors preparing for a career in general practice.

My involvement in medical communication has spread to the media, writing extensively for doctors, pharmacists and the public, with numerous appearances on both radio and television. Self care has always been important – not only does it enable people to take control of their own illness and seek advice appropriately, it is vital to the very existence of the NHS, at a time when the escalating costs of sophisticated treatments needs the support of all of us.

There are real advantages for everyone if we can persuade people to take greater control over the management of their minor ailments. The use of prescriptions and antibiotics will reduce, GPs can spend more time on complex consultations and patients can treat themselves without delay. Upping the importance of the self care agenda is good for patients and good for health professionals.

Peter has been a GP for over 13 years in Kingston upon Thames. His practice is a second wave PMS plus pilot that has used the new flexibilities to address health inequalities in a deprived area.

Peter was previously Vice Chair of the Association of Independent Multifunds, helped set up one of the first multifunds and with other colleagues set up Thamesdoc, the first night rota co-operative in the London area. He previously edited Guide to the Guidelines, the first collection of national disease management guidelines, has co-authored guidelines on inflammatory bowel disease and learning disabilities and has recently edited ‘The Handbook of Primary Care Trusts’. He is a member of the national Inequalities and Public Health Task Force. From 2004 – 2006 he was a member of the Steering Group of the Joining up Self Care (JUSC) Project a self care aware action research project in a PCT.

The increasing emphasis on self care is vital both for individual patients and for a cost-effective health service. Self care is designed to encourage patients and parents to have greater confidence; to improve health literacy; and to foster a more active role in managing health, taking steps to prevent ill health and promote good health, recognising and dealing with non-serious symptoms, recognising serious symptoms and seeking advice quickly, undertaking self care for long-term conditions and making effective and appropriate use of the full range of local health services.

John Chisholm was appointed  Chair of the charity Men’s Health Forum in 2013.

John has long supported the importance of self care. For four years he was a medical adviser to the NHS Working in Partnership Programme, which is addressing new ways of working, health education and self care, and a member of the Advisory Group overseeing the Programme. He is a Director of Concordia Health, a company providing NHS primary medical services, which is committed to encouraging self care, managing demand appropriately and joint working with pharmacy.

John Chisholm has represented doctors nationally for over thirty years. He is a member of the Councils of the Royal College of General Practitioners and of the British Medical Association. He is also a Vice-President of the BMA and a member of the BMA’s Patient Liaison Group. When Chairman of the BMA’s General Practitioners Committee, he led the negotiation of the new GP contract. His interests include medical ethics, healthcare reform and the relationship between health and work.

John was formerly a member of the General Medical Council and the Joint Committee on Postgraduate Training for General Practice, and of numerous other professional and Governmental advisory bodies. He has written extensively about the organisation of general practice.

People seem to need more education and information to be able to manage their own health issues and to understand why taking responsibility for their own minor ailments is the best option for them. Everyone knows their own body best and with some encouragement can do what feels right for them. I am a strong supporter of the Self Care in Practice movement and hope that it attracts widespread support from health professionals across the country.

Sara has been in Primary Care as a Practice Nurse for most of her working life, latterly also as a Nurse Practitioner at the Slough Walk-in Centre, and she is now the local nurse on the Slough Clinical Commissioning Group Board. She sees and advises people with minor ailments and long term conditions on a regular basis and therefore knows the benefit to patients of encouraging self-care. She has written several articles for nursing journals on how to self-care for various minor ailments and a similar booklet for the International Council of Nurses.

Sara is a former Chair of the Royal College of Nursing Practice Nurse Association. Apart from nursing, she has volunteered for many years with the charity Cruse Bereavement Care and is a Trustee of the Men’s Health Forum.

Simon trained at Westminster Medical School and completed a degree in pharmacology. He spent ten years in hospital medicine specialising in general and urological surgery. Awarded FRCS England in 2004. He changed career in 2005 and went into general practice. He has been a principal in Nottingham since 1986.

Simon developed a strong interest in the (failure) of communications between health care providers and consumers. In 1995 he founded the Doctor Patient Partnership (which changed its name to Developing Patient Partnerships) a charity focussing on improving communications. Unfortunately, due to lack of funding the DPP folded in 2008.

Simon has been a central figure in promoting self care. He secured the contract to develop the NHS Direct Home Healthcare guide and their web encyclopaedia. He was a member of the Medicines Management advisory board. He is currently the medical director of Making Sense of Health, an initiative to put health education into the national curriculum which has been successfully piloted in 350 schools.

Simon currently practices in Nottingham, Camberwell and Dulwich. He is the chairman of Concordia Health.

We need to make sure that patients have the knowledge and confidence to deal with their own minor ailments and equally to know when they should be contacting their surgeries for a consultation. I firmly support the campaign and hope that GP consultations and numbers of prescriptions for minor ailments will reduce as a result.

Current occupation: A&E doctor and general practitioner / medical journalist

In a previous life Ian Banks was once a television repair man. He might not be able to cure you but he can do wonders for your vertical hold. He has four children, delivering one himself. “Not quite the same as child birth but at least I got to shout ‘push’.” While working part-time as a family doctor and A&E officer in Belfast, he also represents doctors for the British Medical Association as a member of Council for the UK and awarded the BMA accolade, the Association Medal. He worked on the Developing Patient Partnerships (DPP formerly Doctor Patient Partnership) for six years.

He is the official spokesman on men’s health issues for the BMA, president of the European Mens Health Forum and the England & Wales Men’s Health Forum, vice president of the International Society for the Study of Mens Health, deputy editor of the Mens Health Journal and for six years the medical editor for The Men’s Health Magazine.

The BBC book ‘The Trouble with Men’ was written by Ian in 1996 to accompany the television series of the same name. It was followed by Men’s Health, The Good Patient Guide, The Children’s Health Guide, Get Fit with Brittas, Men’s Health in General Practice, Ask About Sex and the 50th NHS Anniversary book from the NHSE/HEA The Home Medicine Guide. He is also the author of the NHS Direct Healthcare Guide and Web site.

His other books include “the Dad’s Survival guide”, the Haynes” Man Workshop Manual” (2nd Edition) the Haynes “Baby Workshop Manual” (second edition), the Haynes Sex Workshop Manual. Haynes “Woman Workshop Manual” the Haynes “Cancer Manual” (the only book in 2004 to win the Plain English Award), Haynes HGV MAN manual on men and weight, ‘Brain’ deals with men and mental well being. His latest book is ‘Toddler Manual’.

The City of Vienna and the International Society of Mens Health honoured Ian with their award for public health in September 2007.

I'm hoping that this new Self Care in Practice movement will help to bring about a fundamental change in the way that health consultations are managed and how health professionals engage and work with the public.

Michael Dixon graduated in psychology and philosophy at Oxford University before studying medicine at Guy’s Hospital.  Since 1984 he has been a general practitioner at College Surgery in Cullompton, Devon.  In 2008, he and his partners created the “Culm Valley Integrated Centre for Health”, which is widely regarded as a prototype for general practice of the future.

Since the early 1990’s, he has been a leader of the GP/clinical commissioning movement with its aim of allowing frontline clinicians a far greater role in improving local services and health.  He co-founded one of the first Locality Commissioning Groups in Mid Devon in 1993 and served on the National Executive of the National Association of GPs before becoming the first Chair of its successor organisation, The NHS Alliance, in 1998.  He has continued in this role, by annual election, to the present day.  In 2012, clinical commissioning was fully embedded in statute with the creation of Clinical Commissioning Groups (CCGs).  A new organisation, NHS Clinical Commissioners” was created to represent CCGs bringing together the commissioning “arms” of NHS Alliance, NHS Confederation and the National Association of Primary Care.  Michael is the acting President of this new organisation.

Recent national roles have included:- Chair of the National LifeCheck Board, Special Advisor on Practice Based Commissioning to Lord Darzi and sitting on the steering group of the recent King’s Fund Enquiry into the future of general practice.  Today, he is a member of the National Stakeholder Forum, sits on the National Steering Group and the National Strategy Group for Clinical Commissioning.  He is also a member of the NHS Sustainable Development Unit National Advisory Group.

Since 2007, he has been Visiting Professor to the University of Westminster (Integrated School of Health) and was also appointed Visiting Professor of University College, London in 2012.  He is an Honorary Senior Fellow in Public Policy at HSMC (University of Birmingham) and Honorary Senior Lecturer in Integrated Health at the Peninsula Medical School.  He is a regular writer and broadcaster, having written several books including “The Human Effect in Medicine” and is President of the Health Writers Guild.

In 2010, he was elected Chair of The College of Medicine.  This is the country’s first multiprofessional College, committed to patient centred care and improving health, with its motto of “Service, Science and Healing”.

Throughout he has been strongly supported by his wife Joanna, a professional artist, and they have three children.  He is a keen gardener and fisherman, when time permits.

Over a long career as a GP, I have been very aware that many of my patients have a pretty good understanding of how they should best look after a wide range of conditions, but sadly seem to have lost the confidence in looking after common, everyday ailments. For this reason, I am extremely supportive of the Self Care in Practice movement, and really look forward to it making a real difference to health care.

David Haslam has been a GP in Cambridgeshire since 1976 and is the Chair of the National Institute of Clinical Excellence and the National Clinical Adviser to the Care Quality Commission.

David is also the past-President of the Royal College of General Practitioners, and visiting Professor in Primary Health Care at de Montfort University, Leicester. He is chair of the NHS Evidence Advisory Committee, and a member of the NHS National Quality Board. David was Chairman of the RCGP from 2001 to 2004, and he has written 13 books, mainly on health topics for the lay public, and translated into 13 languages, and over a thousand articles for the medical and lay press.  David is also an advisor to the Self Care Forum Board.

Nigel Sparrow is the medical director for revalidation and chair of the Professional Development Board of the Royal College of General Practitioners, a member of the Standing Commission on Carers and visiting professor of general practice at the University of Lincoln. He has been a principal in General Practice since 1984 and has been the senior partner at the Newthorpe Medical Centre in Eastwood, Nottingham since 1997. He is a GP trainer and appraiser. He qualified from Bristol University in 1979. He has experience in the development and implementation of education and quality initiatives in primary care. He was Vice Chairman of Council of the Royal College of General Practitioners between 2004 and 2007 and has been an associate and deputy GP Dean in East Midlands.  In 2013 Nigel became the new National Professional Advisor for Primary Care at the Care Quality Commission (CQC).

People are increasingly sophisticated in their ability to look after themselves with help from the internet and health professionals. Doctors should encourage this new independence and self-confidence.

Dr Raj Patel is a GP in Greater Manchester and Medical Director for NHS Greater Manchester and the NCB Area Team. He is a former GP adviser to the DH and chaired the Greater Manchester Clinical Strategy Board. Raj is a regular commentator in print and broadcast on health matters. He has often appeared on Granada, YTV and LWT’s Fatclub programme and wrote a weekly medical column in the Daily Express.

Raj chaired the Staying Healthy Clinical Pathway Group for NHS Northwest, and within this role promoted self-care to prevent illness and reliance on health professionals.

Our experience in Royal Mail, working with the UK’s largest employer of men, has seen the value of raising awareness about sources of advice and self care to enable our workforce to deal quickly with health problems.

This has helped us to improve attendance and enable continued improvement of the services we provide to our customers.

Steve was medical director, occupational services at Abermed and NHS Workforce Health & well-being lead reviewer before becoming the chief medical advisor to Capita’s DWP Benefits Assessment Services team.

He was appointed to lead the review of NHS workforce health and wellbeing in January 2009, this independent reported its conclusions in November 2009.

An experienced consultant in occupational health, Steve manages a small team of specialists whose, remit includes developing policy and approaches across areas of health, safety and environment within one of the UK’s largest businesses, Royal Mail.

Steve has worked in Royal Mail for nineteen years, as Chief Medical Adviser he has had responsibility for developing occupational health approaches across a diverse, widespread and complex business, which has included working actively on absence reduction and substantially changing Royal Mail’s occupational health and welfare provision in recent years.

Royal Mail’s corporate turnaround over recent years has achieved significant improvements in profitability, quality of service and employee morale – Steve has been directly involved in the cross business initiatives on managing attendance and supporting changes to make the business “a Great Place to Work” in. He was also involved in redesigning the organisation’s ill health retirement scheme, and improving opportunities for rehabilitation. Steve has published widely and is an experienced contributor to conferences and public meetings.

If we are to halt the rise and prevalence of long term conditions, focus on prevention and upstream activity, including minor ailments, is critical - self care is absolutely the catalyst for this.

Susan is the Assistant Director of Quality Assurance and Self Care at NHS North West Strategic Health Authority. She started her career as a Registered Nurse and has an MSc in management Practice from Salford University Institute of Management. and has extensive experience in both the private sector and the NHS.

With over 30 years experience in nursing and healthcare both within the Independent Sector and the NHS, Susan is passionate about improving the quality of healthcare, population health and reducing health inequalities; supported by extensive knowledge and experience in the field of self care, service experience and quality.

As SHA lead and avid champion of self care, she has led and delivered many exciting initiatives including extending the Working in Partnership Programme Self Care for You project across five spearhead PCTs; design and delivery of the NW Self Care Challenge; established the North West Self Care Forum, a regional network of PCT self care leads; and most recently supported and contributed to the development of the RCGP Self Care Aware e-learning programme.

Susan was extensively engaged in the development of â€˜Your health your way’, formerly known as the Patients Prospectus, and now available on NHS Choices; and also contributed to the development of the common core principles to support self care.

More recently, Susan has led the SHA Triple Aim programme; an international learning collaborative developed by the Institute of Healthcare Improvement focused on improving the health of a defined population, improving the healthcare experience of the individual and controlling per capita cost.

Information, support and good communications are central to self care. We need to encourage patients, clinicians and managers to embrace the concept of 'information as a therapy' if we are to sustain our NHS and improve the wellbeing of the public we strive to serve.

Mark is a rare blend of clinician, management consultant and patient advocate.  He works with organisations to help them realise the full benefit of their services and products, especially through the oft untapped potential of patients.

At the King’s Fund he founded the Ask About Medicines campaign and published ‘Producing Patient Information’.   In the BBC he delivered a range of behaviour change initiatives to motivate people to improve their health and lifestyle.

Following roles in the publishing and telecoms sectors, Mark has worked with AstraZeneca, Central Office of Information, Department of Health, Microsoft, NHS Commissioning Board, Novartis,  Scholl, Tunstall Group and UCB Pharma.

He contributes to various public and commercial Advisory & Editorial Boards including the National Stakeholder Forum, is a HealthBox Accelerator mentor, a judge for the Technology Strategy Board Innovators Den, and Chair of the Patient Information Forum.

He is a patient and carer, and lives happily in Manchester, England (despite being Scottish).

Patients, carers and information are the most under-utilised resources the NHS has. Self care is about empowering all citizens to help look after ourselves better by gaining an understanding of our health, our disease, what to expect, who to turn to for help, what simple measures we can do, how we can gain more from our next visit to the pharmacist, clinician or other health professional or websites we trust such as our practice-based web portal www.htmc.co.uk providing local and national information, how we can monitor our own health eg weight or blood pressure at whatever stage of our lives we are in and what we can do to help ourselves, our families or those we care for. Everybody can self care unless you are anaesthetised or asleep and even that could be debatable!

Amir is a full-time General Practitioner. He is a former clinical governance lead and was a member of the HealthSpace Reference Panel, NHS Connecting for Health. He is the Information Management & Technology lead at NHS Tameside & Glossop and the Primary Care IT lead, NHS North-West. He is an editorial board member of the Journal of Communication in Healthcare and is a member of the Clinical Leaders Network.

He has enabled over 800 patients in his practice to get access to their GP electronic health record. This has empowered them to get a better understanding of their own health and also the way health services are organised for them. Linking information from sources such as NHS Choices, Map of Medicine and common conditions that can be self-treated without the need to see a healthcare professional has enabled him to get a better understanding of the needs of a population that wishes to self care more and support them to do so. Local organizations eg pharmacies, district nursing services etc are now wishing to capitalise on this opportunity to enhance delivery of care by enabling everybody to become more effective. A proactive patient who is encouraged to selfcare more helps us all to become even better. He is actively engaged in helping patients, clinicians, managers and organisations to benefit from the IT systems we have in place, driving up quality and minimising costs and helping to change the culture of the NHS from one that is organisation-centric to one that is citizen-centric.

People have an innate ability to take care of themselves and I believe that they do this when they are confident enough. Over the NHS years we’ve seen an increasing reliance on our NHS to look after us and our confidence to self care has slowly been diminished. I have a vision of a population that is confident to self care when they can and know to seek medical help when they need to. To achieve this we all must support our friends, family, patients and consumers to self care and become once more activated in their health and wellbeing.

Gopa Mitra is Director of Health Policy and Public Affairs at PAGB, the trade body representing manufacturers of non-prescription medicines and food supplements in Great Britain. She has successfully led the drive for self care to be an integral part of health policy to successive UK Governments.

Support for the case for self care has included her work in developing the evidence base with consumer research in attitudes and behaviour in self care and self-medication, into information in advertising as well as primary care research.
She has also worked collaboratively with the medical, nursing and pharmacy professions as well as patient groups in increasing their support for self care.

Most recently Gopa worked with the Royal College of General Practitioners in developing the first online course supporting self care for minor ailments aimed at doctors and nurses working in the NHS.

In 2011, Gopa spearheaded the setting up of a multi-disciplinary group, the Self Care Forum, which has the aim to further the reach of self care and embed it into everyday life.  The Self Care Forum was inaugurated by the Minister for Health, Paul Burstow, MP, and she is a member of its Board. Gopa is a Trustee and Vice Chair of the Men’s Health Forum and chair of their Organisational Development Group, having also served as Trustee of DPP Developing Patient Partnerships) and LTCA (the Long-term Conditions Alliance).

Gopa was appointed Member of the Order of the British Empire in the Queen’s Millennium Honours List, 31 December 1999.

To be able to self-care more effectively, people need to become even more confident and competent in diagnosing and managing common self-limiting ailments. Increasing and improving self-care is good for patients, for general practice, and for the wider NHS - and needs to become a more central aspect of health promotion, clinical care and health policy.

Knut Schroeder is a part-time General Practitioner at the Concord Medical Centre in Bristol, Honorary Senior Clinical Lecturer at the University of Bristol, and Media Adviser for NHS Choices. He co-developed and taught a course on ‘Clinical Diagnosis’ for students, which led him to develop his enthusiasm for work around patient self-diagnosis and management.

Knut’s practice currently works with the NHS Institute for Innovation and Improvement to develop a module on ‘Demand and Access’ for their ‘Productive General Practice’ programme (to be launched in 2011), part of which explores ways of helping people at practice level to manage self-limiting medical ailments themselves.

Knut is author of ‘Diagnosing Your Health Symptoms for Dummies’, a guide that aims to help lay people make informed decisions about common medical problems. He currently co-authors a book on ‘Sustainable Healthcare’ (to be published in 2012), in which he also explores the benefits that increased self-care can have for making health services more sustainable.

Working as a GP in Bristol , in hours and out-of-hours, I see that the patients who are empowered by being self-care aware generally have better disease management, greater confidence in themselves and a better quality of life. As the long term conditions lead for Bristol CCG, I appreciate the added benefit of improved self-care leading to smarter use of NHS resources but it is the patients perspective that impresses me most, and drives me to promote self-care in my GP and CCG roles.

With a ‘portfolio career’ spanning several areas of medicine, my main role is as an NHS GP in Bristol. Within general practice I work in daytime and ‘Out-of-Hours’ surgeries, and am now the Long Term Conditions clinical lead on the board of Bristol Clinical Commissioning Group (CCG). I have a particular interest in diabetes and cardiovascular disease, and am passionate about the importance of self care in all disease areas, to ensure that people can be empowered to manage their own disease, improving their confidence and their quality of life, and maximise the resources of the NHS.

I also work as a freelance medical writer and broadcaster working with a variety of magazines, medical newspapers, websites and on TV and radio, both local and national.  I feel that in the overwhelming way all forms of media now dominate our lives, it is vital to have good, accurate, health messaging to inform and support patients with acute and chronic health problems.

When (occasionally!) everything else is quiet, I work as a doctor with an international air ambulance company, bringing patients back from around the world, a fascinating and satisfying job which also gives me insight into other health systems in different countries.

In my spare time, having achieved a degree in art, media & design, I enjoy my work as a glass artist- the mindfulness of focussing on colour, form and texture  is very therapeutic and my creations, ranging from small jewellery pieces to large platters and cast sculptures, continue to enthral me.

I chose to join the Self Care Campaign as, like the Government, it also believes that self care should play a larger role primary care. The Self Care Campaign addresses the issue that in the 'new world' there will only be a certain amount of money to go around. There is evidence to suggest that education on looking after symptoms that can be handled at home has the potential to save NHS £2 billion. I am very hopeful that the role and aim of the Campaign now to build solutions and to put self care into practices will gain traction nationally and locally. GP Consortia, even at their pathfinder stage, can start to implement self care initiatives which involve self care aware consultations, advice and information about self care on subsequent occasions and local communications that promote self care for everyday healthcare.

Sue is Professor of Primary Care Nursing, Buckinghamshire New University, Nurse Advisor Londonwide LMCs and Nurse Advisor to HMP Bedford.

Over the years Sue has had experience as a school nurse, practice nurse, and nurse practitioner, as an Associate Director of Primary Care Nursing and National Project Manager for the Working in Partnership Programme. During these years she also developed a love of teaching and became a Trainer for the National Respiratory Training Centre (now Education for Health) in Warwick and later a Director for the organisation.

In 1992 she became the Chair of the RCN Nurse Practitioner Association and with other like minded individuals, laboured to make nursing in general practice recognised as a profession to be proud of. At this time she co-edited with Vanny Rimmer, the Nurse Practitioner Manual of Clinical Skills and the 2nd edition was published in July 2007.

Sue along with an American advanced nurse (Madrean Schober) and the support of the RCN, set up the International Council of Nurses, Nurse Practitioner/Advanced Practice Nursing Network. This Network was founded to provide a means of sharing research, education, social policy, etc to nurses working in all countries of the world; the Network now boasts a membership from 49 countries, details of which can be found on the ICN website.

Sue has published widely on aspects of education, asthma, allergy and general practice nursing both in the UK and abroad. She has also co-authored ‘Vital Asthma’ with Dave Burns from the Respiratory UK Training Centre

In her spare time Sue flies light aircraft and plays the piano.

It feels good to look after yourself and those you care for. Timely advice from pharmacists and clinicians can point you in the right direction. With the right information you can feel confident to care for yourself. If things don't improve you may need further advice or to be seen.

I have worked as a GP (family doctor) in the East End of London, for the last 25 years. My training year was in Hackney, and then I spent 5 years as a single handed GP working at the bottom of a tower block in Tower Hamlets. Since 1992 I have worked in Newham, starting a new practice from scratch, in a porta-kabin on a piece of waste land. This has developed into a group practice with 6 doctors and 9,500 patients, in a purpose built health centre.

In 1994 I set up the Newham out of hours co-operative with 2 other GPs.

This organisation has grown to provide out of hours cover to the whole population of Newham, about 330,000 people. We are still a co-operative and I remain involved both at operational and strategic levels. I work Monday evenings from the urgent care centre.

I worked as a course organiser for 5 years, teaching GP trainees in Hackney. I have taught medical students for the last 14 years, and I am a clinical lecturer at Queen Mary college university of London. I have recently trained as a tutor for post graduate doctors, doing a work based training programme in general practice.

For 12 years I worked on Sundays with the Whitechapel mission in London E1. This day centre provides food and washing facilities and a change of clothes for street homeless men and women. I developed a deep interest in the treatment of addictive conditions, both to drugs and alcohol, during this time. I was awarded the MBE in December 2000, for the work I did with the Whitechapel mission.

The practice population reflects the demographics of Newham, about half of our patients are form ethnic minorities, with a greater number of younger patients, about one and a half times the national average for under 35 years. Despite the turnover of patients in this inner city practice, I developed a close knowledge and understanding of many families, from many different cultures. It has been a privilege to see families and individuals grow and develop. I have often been fascinated to discover lines of relationship that were completely unexpected amongst my patients.

My clinical interests apart form the fascination of family illness and family dynamics, are: Nutrition and obesity; mental health problems, minor and major; dermatology; urgent and out of hours care; teaching, patients, medical students and doctors.

I believe strongly in the modern focus of health promotion and better care of chronic diseases, including the prevention of these diseases where possible. Working with patients to avoid disease and improve their life style may not be too glamorous, but it will have the greatest impact of the health of the people!

In my some what distant younger days, I used to row, ran a couple of marathons, and worked for save the children in Nepal. My job there was sharpening the vaccination needles, on a stone outside the clinic, before they were boiled for re-use! That was before the advent of HIV infection.

I also painted a mural of whinee the poo in the waiting room. I have often wondered how long it survived.

I have some experience of radio and television, between 1996 and 2001 I was the occasional ‘doctor in the house’ for the Big Breakfast. Always an early start with lots of excitement to wake you up!

In 1994 I was the subject of a fly on the wall documentary ‘The big story’ a day in the life of an inner city GP for channel 4. (Tape available if you are interested!)

In 2002 to 2003 I was the media doctor to Liberty radio, a phone in problem programme on our local, Stratford E15 radio. Quite a challenge as was all live and I had no idea what the questions were about until, the caller spoke to me on air.

2003 to 2005 visiting doctor to ‘The big toe show’. A children’s afternoon show on BBC radio7 , digital radio. Children phoned me with problems, usually related to the programme theme, but some unexpected questions cropped up.

I have various one of media experiences, including:

A Richard and Judy interview on sun cream last summer

A live TV interview in 1995, with some witches

2 or 3 news night interviews some years ago, mostly about inner city medicine.

I hope that I am a good listener and my patients find me sympathetic. Although not a cardigan, I care strongly about doing the best for the people who come to see me for help.

I am on the panel of Doctors for doctors, the British medical association telephone helpline, for sick doctors.

At this time of great change and financial stress for health services, two important movements must progress hand in hand. First, we need a more responsive culture in our services: listening to patients and citizens and getting the right care in the right place at the right time. Secondly, people will get better care if they are confident, activated and empowered: better equipped to make healthy choices, to look after themselves and their families and to navigate healthcare systems as equals with health professionals. Some people take naturally to this role, others needs support and help; and we all need better information and better conversation.

Jeremy Taylor is chief executive of National Voices, the national coalition of health and care charities for England.  He joined the organisation in 2009 – a year after its launch – and has been building its impact and visibility as a major voice for patients, service users, carers and their representatives.

In 2011 Jeremy was appointed to the NHS Future Forum, the expert independent panel which advised the Coalition Government on its health reforms, and he co-chaired its work on information.   He currently sits on expert panels reviewing the NHS Constitution, information governance in health, and the prospects for a public quality ratings system for health bodies.

Jeremy is one of a handful of charity leaders to feature in the Health Service Journal’s annual list of 100 people with the greatest influence in health policy and the NHS. He is also included in the HSJ’s new list of prominent health tweeters.

A former senior official at HM Treasury, Jeremy was previously Executive Director of Groundwork East London, an environmental charity, and head of research at Social Enterprise  UK.

The RCN is delighted to offer its full support to the ongoing Self Care Campaign. Excellent nursing is as much about helping people care for themselves and their families as it is providing personal care to people who are not able to look after themselves. Over 500,000 nurses work in a variety of health care settings, which offers them boundless opportunities to support people to live in a more healthy way as well as to self care when illness occurs. We look forward to working closely with the PAGB on this excellent and essential campaign.

Lynn was  a district nurse until 1990 when she became the Primary Health Care Adviser, RCN.

She retired from the RCN in 2012.

In November 2004 Lynn was awarded an Honorary Fellowship Royal College General Practitioners FRCGP (hons) and has a seat on the RSM General Practice Council. She is a trustee of Acton Care Centre and the charity, Groundswell.

Patient Participation Groups (PPGs), uniquely placed at the heart of GP practices, have an essential role in empowering individuals to access and understand appropriate information that supports shared and informed decision making about treatment, self care and lifestyle choices.

Through their contact with patients and the public groups actively promote positive mental and physical well being and improve individuals’ confidence and self esteem by assisting individuals to be confident in the actions they take and thereby in their self care choices in respect of minor ailments.

NAPP is extremely committed to supporting the self care campaign ensuring a ‘bottom up’ approach of patients making a difference for patients”

Stephanie Varah is Chief Executive of the National Association for Patient Participation (N.A.P.P) a unique UK wide umbrella organisation for patient-led groups within general practices. N.A.P.P is an independent registered charity with over 30 years’ experience and expertise in promoting, supporting and developing Patient Participation Groups (PPGs).

Stephanie has over 25 years experience of working at the leading edge of public and patient involvement in health, social care and the voluntary sector. A national finalist for a Cabinet Office Modernising Government Partnership Award, Stephanie gained recognition for her work in developing and implementing a user involvement/user-led organisational change programme for a large social services authority.

As Patient and Public Engagement and Experience (PPE) Lead for Trent Strategic Health Authority and NHS East Midlands Stephanie pioneered the involvement of patients in SHA performance management reviews and led a national project for the Department of Health to develop performance indicators and evidence measures for PPE and Patient Experience.

Working independently since 2006 as a consultant Stephanie has delivered numerous PPE related programmes for the Department of Health including running the LINks early adopter project and co-ordinating the implementation of LINks across one hundred and fifty local authorities nationwide.

Mike Farrar was the Chief Executive of the NHS Confederation from May 2011 to September 2013.  He is now an independent health consultant.  

Mr Farrar was chief executive of the North West England SHA from May 2006 to April 2011. He was previously chief executive of West Yorkshire and South Yorkshire Strategic Health Authorities, chief executive of Tees Valley Health Authority and head of primary care at the Department of Health. During his time at the Department of Health, he was responsible for establishing primary care groups, primary care trusts and Personal Medical Services (PMS). Mr Farrar chaired the Strategic Health Authority Chief Executive’s Group from 2002 to 2009. He chaired the NHS Confederation GP Contract negotiating team that successfully negotiated the new General Medical Service contract in 2002. He also worked as the national programme director of NHS Live, chaired the Office for Life Sciences Innovation Delivery Board and was the key architect of the NW Advancing Quality programme, which involved one of the worlds largest and most successful Pay for Performance quality improving schemes in health care.

Mr Farrar is also a board member of Sport England, where he has also acted as interim chair, and in August 2009 was appointed as National Director for Sport and Health. Mike was also awarded the CBE in 2005 for services to the NHS and is an honorary fellow of the Royal College of General Practitioners and of the University of Central Lancashire.

Self care is fundamental to supporting people in improving the quality of their life. Feeling in control, feeling in charge, knowing what to expect and how to look after yourself helps to remove the dis-ease from people’s lives.

Martin qualified as a doctor in 1981. He trained in general and vascular surgery before electing to enter General Practice. From 1990 until 2004 he was a GP partner in a training practice.

He has previously chaired a Primary Care Group and Professional Executive Committee and was Chief Executive of North Eastern Derbyshire Primary Care Trust from 2004-2006. From 2006-2012 he was Deputy Chief Executive and

Director of Strategic Planning and Health Outcomes for NHS Lincolnshire as well as a member of the National Patient Safety Forum and Vice Chair of East Midlands Specialised Commissioning Group.

He was appointed his new role within the Medical Directorate of the NHS Commissioning Board (now NHS England) in 2012.

I’ve come to realise through my experience as a doctor, that many people feel disempowered and powerless over their own lives.
This dismays and frustrates me.

In an effort to help, I feel we can occasionally exacerbate matters by stripping control away from the individual, especially when it comes to self-limiting illness.

Promoting self care, for me is hugely important since it’s about building and sustaining the confidence of individuals and communities to manage their own health and their own lives, with health care colleagues providing a supporting facilitative role through freely sharing their knowledge.

This seems to me, to be key, for building a happier, healthier and more self-assured society.

Jag is a GP, Deputy Director of Postgraduate Programmes at Keele Medical School and a Non Executive Director at Birmingham Community Healthcare.

Building on practical experience gained as a director of primary care development in the West Midlands, Jag has led a wide variety of leadership development and management academic programmes through the University of Warwick, the Institute of Clinical Leadership, the Royal College of General Practitioners, the West Midlands SHA and the Department of Health. His international experience includes work with Latin American health care professionals, taught in Spanish and the delivery of modules and workshops in Hong Kong and Korea. He has worked for the Medical Protection Society’s Asia-Pacific division, leading on the development of shared decision making initiatives for doctors and dentists.

Jag has an MSc in Health Care Management, awarded with Distinction, from the University of Warwick and is undertaking a PhD in Management at Birmingham Business School.

LinkedIn profile: http://www.linkedin.com/in/jsdhaliwal

I am a long time, passionate believer in the importance and need for patients to be involved both in decisions about their own health and in the organisation of services they receive from the NHS. In 2011 this is more important than ever. Everyone including all those involved in the design, management and provision of health services and the wider public must now understand and embrace the concept of self care and its central role in helping people take control of their lives. For me self care means that I myself can look after any minor health problems both self limiting and longer term as well as helping prevent problems arising. I look forward to supporting the self care programme in progressing this view and any actions needed to implement it.

Patricia Wilkie is a social scientist with a particularly interest in the patient perspective. This is reflected in her academic work and in voluntary work with the medical Royal Colleges, the Academy of Medical Royal Colleges, disease organisations, charities and government committees. She is currently President of N.A.P.P.(National Association for Patient Participation).

Promoting and supporting self care is a core role for community pharmacy teams as part of the medicines pathway and public health role; both of these opportunities require further promotion to the public and patients with long-term conditions.

Michael Holden read pharmacy at Portsmouth School of Pharmacy. He was awarded a BSc Pharm in 1976 and did his pre-registration year in Southport, Lancashire. Following a number of years in various management positions, Michael established his own community pharmacy group in Hampshire between 1988 and 2002. He then set up a consultancy to support the implementation of change in community pharmacy before working with Pharmacy Alliance between 2003 and 2005. In 2005 he was appointed Chief Officer of the Hampshire and Isle of Wight Local Pharmaceutical Committee and jointly established balance consultancy in 2008.

Michael has always been actively involved in the expansion of community pharmacy services including the development of the Healthy Living Pharmacy initiative. He is a member of the recently formed Pharmacy and Public Health Forum, the Public Health England Engagement Group and the Pharmacy Clinical Leadership Network.

Michael was appointed Chief Executive of the National Pharmacy Association in January 2011 and became a Fellow of the Royal Pharmaceutical Society in March 2011.

Michael is married with three daughters and lives in Hampshire, England.

I am in full support of self care as it empowers the patient and the public at large in taking care of themselves. Many studies show that the willingness to help oneself is always there, what is required is giving the most up to date and appropriate information to help boost the confidence in attaining that. In my experience many long term problems are also identified early on by taking responsibility of oneself.

Mukhtar has been working in primary care all his life and has been at the forefront of public access. Community pharmacy has always been the first port of call for the NHS services. Mukhtar is a community pharmacist practising since 1988, and has worked in the Hackney area of London since 1993. Over the years he has helped in training GPs and other healthcare workers in management of substance misuse. He is a member of various committees in the locality, such as prescribing in primary care and medicine management, designing and providing pharmaceutical services.

Mukhtar’s main aim is to help address health inequalities in a deprived area like Hackney, especially for the population whose first language is one other than English.

The bedrock of good care is self care. I fully support of self care as it empowers the patient and the public  to take care of themselves. In my experience local acupuncturists can have a invaluable role in supporting this self care - and believe there should be more collaborative approach between complementary health providers such as acupuncturists and people who would benefit from self care.

Nick Pahl is CEO of the British Acupuncture Council, the largest body of 3,200 professional acupuncturists guaranteeing excellence in safe practice, training and professional conduct. Previously he was a commissioner in the NHS and is a member of the Public Health Register, following completing a Masters in Public Health at the London School of Hygiene and Tropical Medicine.

I support Self Care because it improves Quality of Life for individuals and society. When we are equipped with Self Care strategies we reduce ill health, increase employment opportunities, and enjoy Life!

Sam Shakes has been working as a Self Care Facilitator for over seven years.  She has her own business ‘The Patients’ Perspective’.  She has published a book titled ‘Then Life Took Control’ that represents the Patient Experience and Self Care.

I have learned to care for myself since being diagnosed with type 1 diabetes, on Independence Day, 1988. I have also leaned that my ability to do so, has often depended on the goodwill and understanding of others as well, e.g. work colleagues, friends, and family.

As a nurse, I am in the business of caring for others, but as the director of my own company, I am in the business of encouraging other diabetics to manage their own condition.

My original intention was to champion self care by writing a book about it – Diabetes From The Inside Out – which was well received but only after developing my own self management programme, did I feel I was able to fully advocate self care, as both a healthcare professional and a practitioner of it myself.

Self care is a vital skill for all of us. It encourages us to be proactive in looking after our health and the impact this has on other areas of our lives is of great benefit.

Carol has worked in the commercial, statutory and voluntary sectors, including the development and management of a range of projects. She has held various appointments as a director/trustee with voluntary organisations. Carol has been involved with various health based projects, including vulnerable young people, carers, substance misuse and advocacy work for individuals with complex mental and physical health needs.

Carol believes personally and professionally that for organisations to provide high quality services that are appropriate and accessible, it is vital to seek the views of all involved. She has long experience both with her own health and disability and also with care provided to members of her immediate family of various aspects of the medical profession and she welcomes and values the opportunities provided by the BMA to be involved as a member of the PLG. Carol currently works with individuals and families with cancer and other mental health issues including terminal illness.

As someone who has learnt to self manage a long term condition with the help of my GP and consultants, I know just how much difference this could also make to others managing short term periods of illness.

Antony has only been volunteering in the health sector for 7 years, previously volunteering for ‘Samaritans’ and as a member of the ‘Independent Monitoring Board’ at HMP Ford. Antony lives with a long- term condition, which he self manages in partnership with health professionals. He learned many self management skills on an Expert Patient Programme course and then went onto become a volunteer tutor for the Expert Patient Programme Community Interest Company.

He is also a founder member of the former South East Coast SHA’s Peoples Engagement and Development Network; the first permanent patient group in any SHA. Antony has a passion for our National Health Service and is devoted to working with other service users in partnership with health professionals. He feels if you want to change something for the better, get involved. He is especially interested in issues around health inequalities.

He joined the RCGP PPG in 2007, became a vice chair in 2008 and was chair in 2009-2012.

Trust is at the heart of the doctor -patient relationship. Supporting and encouraging self care involves mutual trust- helping individuals to make informed choices about their care, instilling confidence and promoting future well-being.

Fiona Baskett is a family doctor. After brief spells in General Practice in Canada and Australia, she has spent most of her professional life in the UK. For many years she wrote a weekly column for a tabloid newspaper, and a monthly feature in a popular national women’s magazine. She has written and presented numerous medical television programmes, and was medical adviser to mumsnet, the parenting website, in its formative years in the early 2000′s. An interest in trauma led to her teaching on Pre-Hospital Emergency Care Courses run by BASICS and the Royal College of Surgeons of Edinburgh, and she was Founder Chairman of an Immediate Care Scheme. She has experience in aeromedical repatriation and lectured in clinical aspects of aeromedical transport at Cranfield University and the University of Surrey. For twelve years she was medical officer for the F1 British Grand Prix at Silverstone. As Principal Lecturer in Primary Care at the University of the West of England she has taught nurses and paramedics in Diagnostic Skills, Physical Assessment and Clinical Reasoning. Currently she is a sessional GP and Appraiser in the Severn Deanery. As a GP, and media medic, she is a strong proponent for encouraging and supporting self care.

Self care and GP care go hand in hand to keep us healthy. Getting the balance right is the key.

Roger Till began his working life as a geology lecturer and then moved on to work on developing exploration computer systems for BP.  When all that got outsourced he moved on to run a small not for profit ecommerce standards body which was then merged into the worldwide barcode standards body.

Since retiring nearly three years ago, Roger has been involved with NICE (National Institute for Care and Clinical Excellence) as a patient/carer member of a Guidelines Development Group and now of a Quality Standards group, convenes the Patient Participation group at the Lawson Practice in Hackney and for the last year has been a Trustee of the National Association for Patient Participation (N.A.P.P.).

Over my years as a GP I have noticed a growing band of patients who live isolated from advice and help  from extended/local family. As an educator I try to teach my registrars that  we may be of more use to our patients  teaching them to look after themselves than we are reaching for our prescription pads. I hope that by writing this module we will make health professionals think about how we might enable patients to self-care.

I am a partner, trainer and GP tutor in North West London. I am a CSA and Imap examiner. I am News and Views editor for Innovait and recently edited the Women’s Health Module for the e-LfH. Over the last year I have been involved in teaching the Health for Healthcare Professionals; unless we as doctors look after ourselves how can we teach our patients to self-care.

I am married with two children. I walk in the Chilterns and have an allotment with an asparagus bed. I like to eat well and sometimes run tutorials over hot chocolate in cafes.

I fully support the aims of the Self Care approach designed to encourage people to take a more active role in managing their own health and well-being. Confidence building and providing information and knowledge in a manner which will resonate with the various client target groups will be essential to achieving a measurable change in population behaviour. The Self Care approach will play an important role in ensuring GP's have the capacity to respond to the ever increasing demands of commissioning and service delivery. Essential to the success of this programme is the need to ensure patients are given the knowledge, resources and confidence to treat themselves for everyday minor ailments but equally importantly are able to recognise the onset of disease requiring medical intervention.

Jean has recently been appointed as Business Manager for Health at Coventry City Council, a newly created post and one that exemplifies the commitment by both Jean and Coventry City Council to continue the work designed to improve the lives of the most vulnerable and deprived in society.

Jean has always had a passion for providing the highest standard of evidenced based care which is demonstrated by her move from nursing to undertaking a variety of roles which reflect this concern, including hospital Clinical Audit and Clinical Effectiveness Manager, Health Authority Research and Development lead and clinical lead for Commissioning during the GP Fundholding era.

Frustrated at the lack of ‘joined up thinking’ and seeing patients admitted with life threatening diseases, which were mostly preventable, Jean moved to working within a Local Authority where she believed she was better placed to work in support of reducing health inequalities in vulnerable communities. She initially worked in North Worcestershire where she established the very first Health Improvement Programmes (HImP’s) before joining Coventry with a ‘brief’ to reduce Health Inequalities across the city.

Coventry City Council has a cross party track record of supporting work in this area and in 2010 was named a ‘Marmot city’ by Professor Marmot. Mike Grady (Prof Marmot’s senior researcher) has been working closely with Jean and partner agencies in the city to help ensure the six main themes of the Marmot Review are embedded in its strategies and newly established Health and Well Being Board programme. Jean and her team’s work was recognised nationally when they were awarded the Beacon Award for Health Inequalities and only this week Jean will join partner agencies to receive the coveted Olympic Inspire Mark Award for their work in providing services in an innovative manner (within a Fire Station) to people who would not normally access the more traditional type statutory services.

Through education and support patients should be encouraged to recognise and manage their own minor ailments. This increased confidence will empower them to take greater responsibility for their health and help them to know when to seek advice from their GP, Nurse or Pharmacist. Knowing the normal duration of symptoms for minor ailments and appropriate management will give patients the skills and confidence to self-care, but if symptoms worsen make them aware of when they need to seek further advice and access services more appropriately

Beth McCarron-Nash is a UK GPC Negotiator elected in July 2008. She has experience working in many different types of general practice and currently works in a large dispensing practice in North Cornwall. She was the lead GP for the BMA’s “Support Your Surgery” Campaign which resulted in 1.3 million people in just three weeks signing a petition against Government plans for Darzi clinics and increased commercialisation in the NHS. As a GPC Negotiator she represents GPs nationally and leads in QOF, Public and Patient Involvement, Education and Workforce, Sessional GPs and Communications. .A member of the councils of the BMA and RCGP and a regular BMA Spokesperson, she speaks and writes on many political and health issues with a particular interest in empowering patients and NHS and healthcare reform.

Sustaining the NHS is both a national priority and professional duty. As a GP I am fortunate to be on the front line for making a difference to our iconic NHS. Self-care for minor ailments is a key strategy in improving long-term healthcare sustainability and supporting patient autonomy.

Dr. Ishani Patel is a recently qualified sessional GP in London. She is the RCGP E-learning Fellow and Clinical Lead in the development of the Self Care for Minor Ailments online learning module. She also works for the North West London Cancer Network striving to improve cancer diagnosis and follow up in primary care. She considers herself to be a new generation GP and contributes to an online blog for PULSE called ‘Surviving the First 5 years’ aimed at keeping her peers informed about issues surrounding newly qualified GPs.

I believe that improving people’s capacity to look after their own health more effectively will increase both their long-term well-being and their ability to manage their lives better. They will become more confident when deciding whether or not to consult with health professionals and will appreciate the importance of developing a partnership approach to coping with the ups and downs of life, through the appropriate use of advice and support.

I initially trained and worked as a research organic chemist, and then taught and held posts of responsibility in schools, colleges and universities.  I was Deputy Head teacher of a large comprehensive school before joining the Education Department of Warwick University as a lecturer in science education and school management, and an evaluator of the Government’s Technological and Vocational Education Initiative in Schools programme.  I then became a schools’ science adviser in local government and then Chief Education Adviser and eventually Deputy Director of Education for a Local Authority.  Later I inspected schools nationally for OFSTED for some five years.

During my career I have been particularly concerned with the health and wellbeing of children and young people and have served on and led safeguarding boards, children’s services committees and joint education/health strategy groups. I strongly support calls for personal, social and health education to become a statutory part of the school curriculum and have introduced dedicated support programmes for health improvement into schools.

I was Chair of the Royal Society for Public Health for nearly four years, retiring in 2012, having previously held a similar position with its predecessor body, The Royal Society for the Promotion of Health. I am a strong advocate for multidisciplinary public health and I am especially keen to develop more effective joint working between health, education and social services. I am particularly concerned with the need to improve levels of health literacy in the population.

I also support the work of the British Lung Foundation.  I am a member of its Patient Support Sub-committee, a member of the Regional Committee in North West England and the Chair of Breathe Easy Oldham, a BLF support group for people with respiratory problems.

I am very keen to improve the educational standards of the public health workforce internationally and have been a trustee of the People’s Open Access Education Initiative (The People’s Uni) for ten years. This aims of this organisation are to provide e-learning and formal accreditation opportunities in public health in developing countries using volunteer tutors and low cost materials.

I have long had an interest and involvement with youth clubs and youth work.  I was Chair of Boys and Girls Clubs of Greater Manchester for 8 years and I am now Chair of the national umbrella organisation – Ambition UK.  One of my challenges is to develop the unique opportunities that youth organisations have to improve health literacy and promote self-care among adolescents.

I am delighted to offer my full support to the Self Care Campaign. Self-care is well-known in later stages of kidney disease, particularly home dialysis, but less well-known in early stages. I strongly believe that it is crucial for patients and practitioners to appreciate the value of self-care and to understand the skills and attitudes required to facilitate a productive self-management approach. In kidney care this means working together in partnership to increase confidence in managing the condition, identifying realistic aims and making action plans.

Dr Nicola Thomas is a self-employed nursing lecturer and researcher specialising in renal (kidney) care, with 30 years experience in clinical practice, education and research.

Nicola has a particular interest in self-care. Her Doctoral thesis developed and evaluated a self-management package for people with diabetes at risk of kidney disease. Findings showed that many patients did not fully understand the risk of developing kidney problems and more importantly did not know how to reduce that risk.

Nicola is currently involved in a primary care study, funded by the Health Foundation and managed by Kidney Research UK that is working with 28 GP Practices in England and Wales. One aspect of this project is to promote self-management of early kidney disease. www.kidneyresearchuk.org/enable

Nicola has a recordable teaching qualification and has a Masters Degree in Education. She has developed, taught and managed study days, conferences, short courses and University validated modules. She has extensive teaching experience for acute and primary care NHS Trusts, GP practices and Higher Education. She has a particular interest in understanding how to facilitate self-management, both from a patient and practitioner perspective.

Nicola is the editor of two renal textbooks: Renal Nursing (2008)(Elsevier) and Advanced Renal Care (2005)(Blackwells). She was President of the European Dialysis and Transplant Nurses Association/European Renal Care Association (EDTNA/ERCA) in 2000-2001.

Self care is important as it allows greater patient empowerment, contributes to freeing GP time and saves the NHS money.

Paul qualified as a pharmacist in 1992 and worked as a practising community pharmacist for Boots the Chemist. He became a teacher practitioner at Bradford University before moving to Portsmouth University performing the same role. In 1996, he took the post of a research pharmacist, and gained his PhD in 2000. His PhD centred on skill mix in community pharmacy. After gaining his PhD Paul took a full-time post as senior lecturer at Portsmouth University. His main duties were teaching various aspects of practice but in particular self-care and diagnosis. This culminated in the publication of two text books in 2004 and 2005 in the area of diagnosis for pharmacists. In 2005, Paul took a career break before joining the University of Wolverhampton in 2006. His main areas of interest centre on patient self-care. He is currently involved in a number of community pharmacy-based projects that are looking in to maximising pharmacist contribution to self care and evaluation of clinical decision making.

The NHS is on a journey to shift care out of acute hospitals and into the community. This will only be possible, without unaffordable new investment, if there is a parallel shift of activity from NHS primary care and community facilities to patients themselves. Happily, what is good for the NHS system is exactly what an increasing proportion of patients and members of the public want and expect. Through everyday technology, the public now has access to more and better information and advice about health than ever before. We in the NHS need to see our role as supporting people to look after themselves and their families, to enable them to manage their health more actively and to stay well.

Joanne is Chair of NHS Direct, which provides remote and health advice and information services via phone, web and mobile channels, to patients and the public in England. She is also Chairman of Datapharm, a leading provider of digital medicines information to the NHS, the pharmaceutical industry, patients and the public.

Joanne has a background in the use of new communication channels for health and medicines. In her professional roles and in her writing for health publications, she is known for advocating partnership between patients and health professionals and supporting people to make better informed choices about their health.

She was recently appointed as a Non Executive Governor of Nuffield Health, the UK’s largest trading charity, operating in the hospital, corporate wellbeing, and health & fitness sectors. She sits on the board of the Money Advice Service and she is a director of the British Board of Film Classification.

Previously she was a Trustee for the Long-term Conditions Alliance, the umbrella charity for patient organisations supporting people living with long term health conditions. She chaired the not-for-profit company behind ‘Ask About Medicines’, the independent campaign to increase people’s involvement in decisions about their use of medicines, and worked internationally as a strategy consultant with the Boston Consulting Group.

I support the Self Care Movement because I believe everyone should be encouraged to be proactive in maintaining their own positive health and that there should be the right information, tools, products and support readily available to facilitate the journey that takes them from a patient mindset to a place where self care is intuitive.

I own a consultancy that specialises in helping pharmaceutical companies switch their medicines for self care application. I am a pharmacist with over 25 years experience in the medicines industry and have worked with companies such as Boots, Boehringer, Pfizer and Novartis, I championed the “first in class” switch of tamsulosin for Boehringer Ingelheim. It is obvious to me that most drug companies have untapped potential in their legacy prescription drug portfoilios but they don’t know its there or how to release it and some are afraid of the risk. I help pharmaceutical companies un-earth the opportunities for switch and provide the extra energy and safety circuits needed to create new self care possibilities that trigger behaviour change.

I am a passionate advocate of self-care. For most of the time people care for themselves: even people with serious long-term conditions and their carers spend very little of their time in contact with health services. We must support people to care for themselves. However, self-care should not be seen as just about managing self-limiting ailments. It is about empowering people to look after themselves, by helping them to understand more about their health and about disease, and signposting to sources of support.

Support for self-care should be seen as integral to the NHS.

Jonathan is Clinical Adviser (Medicines) at NHS North East London and The City, Pharmacy Lead for the Dementia Calls to Action at the NHS Institute for Innovation and Improvement, and a member of the Prime Minister’s Challenge on Dementia Champion Group.  Jonathan is the former National Clinical Director for Primary Care and Community Pharmacy at the Department of Health.

Jonathan champions the development of medicines optimisation services which best meet the needs of patients and the public.  Jonathan is passionate about the role of community pharmacy in improving the use of medicines and promoting and supporting healthy lifestyles. Jonathan provides clinical leadership to help shape future models of care.  He has established a pharmacy clinical leadership network to support the development of pharmacy clinical champions to identify and spread best practice, and to help overcome barriers to service redesign and seamless delivery of care.

Jonathan has a wealth of experience in pharmacy practice including working in hospital and village pharmacies, laboratory-based research into drug metabolism and pharmacokinetics, academia and medicines regulation. He has been working in primary care pharmacy since 1998.

Follow Jonathan on Twitter @jonathanmason

People should be empowered with the confidence and skills to manage their long term conditions and minor ailments with the aim of a more positive and independent life.

A General Practioner working with her husband Mark Gallagher at Alvanley Family Practice in Stockport.  Jaweeda is the Clinical director for Service Transformation for Stockport Clinical Commissioning Group with priority for developing and implementing an integrated service for people with long term conditions.  Recently Jaweeda became the Healthier Together Clinical Champion for people with long term conditions for Greater Manchester and strongly believes patients, families, carers and communities are the biggest asset to our health service.

I’m a firm believer in Self Care being for everyone. Through completion of a Self Care Training course, the individual has the opportunity to access a complete package for good all-round holistic health, through greater knowledge, links with health trainer schemes, and the range of social networks and projects linked to Health Improvement Services. This consistently acts as a springboard for further maintenance of positive lifestyle changes.

Jason has been directly involved with Self Care provision, research and development for the last 7 years, working with NHS Oldham and Pennine Care NHS Foundation Trust as well as third sector community arts, mental health and physical activity organisations.

Recognising the impact and benefit on staff and patients within clinical settings, but also the need for a community based approach in provision and support, he has worked strategically to develop the training package and forge partnerships with The Stroke Association, Arthritis specialists; Pulmonary Teams, Psychological Medicines, Children’s Centres and Remploy, with a view to helping service users take charge of their conditions whilst developing better health physically, mentally and socially.

With the help of a small core team, Jason has sustained and expanded the Self Care Project and Self Care for Young People, whilst developing and providing adapted materials and training linked with LTC’s. Most recently he has co developed a Work Place Health package using key Self Care strands, developed a brand new Teen Weight Management Programme and ran as a 2012 Olympic Torch bearer.

I have become a self-care champion because I believe we will get better care if we are, motivated, confident and empowered to look after ourselves and our families and become equal partners with health professionals.

Chris Moon-Willems is regarded as a respected voice for older people and family carers based on her extensive experience in social care and the NHS combined with personal experience of caring for her elderly parents.

Chris became one of the pioneers of personal budgets and their influence on personalisation, at a national and local level in social care and the NHS. This included a secondment to the training arm of the DH and communicating with social care and health professionals to ‘win hearts and minds’ about self directed support and personalised care.

Chris is a qualified social work professional, author, CEO of Relative Matters and committee member of St Lawrence Surgery Patient Participation Group (PPG)

Having worked with NHS Trusts and patient groups for a number of years, I have been working hard to understand how to use technology to encourage self care and offer an enhanced patient experience.

Empowering patients, family, carers and healthcare teams by facilitating dialogue through organised patient forums not only does this but offers the costs saving so desperately needed.

Nick was Marketing Director of the NHS Diagnostic Service and NHS PET/CT , where he worked extensively with the Department of Health, NHS Trusts, PCTs and SHAs. He later managed numerous national and local NHS initiatives where he began to recognise the requirement for patients, family and carers to explore their worries and concerns relating to a specific condition and their desire to open dialogue amongst themselves and with the healthcare professionals treating them. As a result he developed the PatientShare model with Walsall NHS Foundation Trust. (walsallbariatrics.org.uk) which utilises the Internet to establish patient forums, with the aim of empowering patients and supporting informed decision making.

Nick has spoken regularly on patient engagement and lives in Harrogate with his wife and three children.

As a pharmaceutical and prescribing advisor working in primary care I have always believed in promoting self care as a means of increasing the capacity of the NHS and improving health outcomes for public and patients

Mike Beaman is a native of Leicester and qualified as a pharmacist in 1970. He was employed as a hospital pharmacist in Leicester for a number of years prior to becoming a Chief Pharmacist in London in 1983. He was responsible for creating new roles for community pharmacists during the 1980’s and 90’s. In 1989 he was one of the first pharmacists to be appointed as a pharmaceutical and prescribing advisor in the NHS and in 1991 was instrumental in forming the National Pharmaceutical Advisors Group. He was appointed a Fellow of the Royal Pharmaceutical Society in 1994. His last appointment, prior to retiring from the NHS in 2007, was as Chief Pharmacist for North Hertfordshire & Stevenage PCT. He now works as a freelance pharmaceutical advisor specialising in primary care and public health. He lives with his partner in West Sussex.

If you had the one and only object that existed in the whole wide world and no one else can ever have it, What would you do with it? Most people answer 'Take care of it'. My answer is 'Well, you do have one, your body! So take care of it!

I have been a Service User Consultant Volunteer with Nottinghamshire Healthcare NHS Trust for 10 years working with and representing the mentally ill for ten years. I am also a Director of Integritas Advocacy Charity which freely helps the vulnerable of Inner City Nottingham.

I worked in Telecommunications for 30 years and retired in 2001. All my life before retirement I suffered with extreme bouts of depression, paranoia and anxiety, I then decided that I could put up with this no longer and decided that I would give up the conflict of my mind and accept my conditions. I then went into a bout of mindfulness and torment and after a year of struggle ‘found myself’. Remarkably all my troubles went and I have been totally free of paranoia, anxiety and almost the depression for ten years now. This was my own self care and after 45 years of constantly seeing psychiatrists and taking medication, I found my own solution. I do admit to still taking medication.

I am a strong advocate of personalised medicine and the patient being at the heart of the healthcare decision. I believe that the NHS needs to be more creative in finding self care and other health solutions for people by wider collaboration with organisations interested in health. Only then will we foster a responsible health conscious population who can more effectively prioritise between self care, health resources outside the NHS and resources within the NHS, when they have a health issue.

Dr Anita Nathan completed her GP training in the West Midlands in 2002.

Since the start of her GP career she has experienced the diversity of over 25 general practices and is therefore truly able to appreciate the successes and challenges in the provision of effective GP services.

She has also served as a medical advisor for AstraZeneca, which included delivery of the medical strategy leading to the launch of a major cardiovascular pharmaceutical brand to the UK market in 2011.

She is a practising GP in central London with particular interests in preventive medicine, mental health and weight management. She is currently advising on the London strategy for the National Obesity Forum and also a GP lead advisor for the British Association of Applied Nutrition and Nutritional Therapy (BANT).

Empowering people to self care is vital to the future of the National Health Service but also puts people back in control of their lives. If we can support health care professionals (Doctors, Nurses, Pharmacists etc) to give consistent messages to people that are suffering from minor or self limiting illnesses by giving them all the information that is required to care for themselves at home, BUT also ensure they know when they need to seek advice from a health care professional it will help us manage patient demand in primary care and ensure that the right patients get the right treatment at the right time from the right person. We are increasingly overwhelmed by demand within general practice, our duty doctors are inundated by patients that could self care at home if they had the right information to hand.

Josiane has worked in the NHS for over 25 years now, she has worked in secondary care and a primary care trust but mostly within primary care. She is passionate about patient and public engagement and ensuring high quality services within general practice are accessible to all patients.  She chairs the West Sussex Practice Managers Association and is very clear that with well supported and highly trained Practice Managers, primary care can be the best it is able to be, to secure the future of the NHS and the health and wellbeing of all people.

The wisdom of the human being to care for itself is a vastly under-utilised resource and one that were it to be fully lived could save the NHS millions, if not billions. Self-care is empowering and has the capability to enhance wellbeing and vitality in so many ways whether one has an illness or disease or not. It is applicable to everyone, patients and healthcare professionals alike.

Indeed, as healthcare professionals we have a responsibility to set an example, to be self-caring, for in order to provide true care for another we must first provide that care in equal measure to ourselves. In that way we can inspire others, patients and colleagues alike to also be more self-caring. The more self-caring I have become, the more I realize the significance of my daily choices on my own health and wellbeing and how simple changes can have profound effects.

Eunice currently works as Consultant General Surgeon in N. Ireland. She trained in General Surgery and abdominal organ transplantation in Scotland, England and the USA. During that time Eunice had a ‘work-hard, play-hard mentality’ so typical of many doctors in training. However, around 2003/4 Eunice began to question her own lifestyle and undertook a number of different trainings and courses (both academic and non-academic) and developed an interest in holistic healthcare and whole person medicine. In doing so, Eunice has transformed her own life and has developed a deep understanding of what it means to be truly self-caring and how that applies to the daily choices she makes. These choices are based on knowing the ‘self’ that is being cared for, which is universal to the human being and thus applicable to all. Eunice provides talks, workshops and presentations on a variety of subjects relating to self-care, to empower others to care for and heal themselves by understanding how ones daily choices can be beneficial or detrimental to health and wellbeing.

Eunice has an interest in Medical Education and is the Lead for Undergraduate Surgery teaching at her hospital and has been involved in other teaching initiatives. She has a Diploma in Clinical Education and she is keen to bring the principles of self-care to medical education such that the doctors of tomorrow truly care for themselves as well as their patients.  A medical workforce that cares for itself will enhance the quality of care it delivers and lead to improved outcomes overall for patients.

Toto is committed to changing relationships in the NHS and creating opportunities for the expertise of the self to emerge.  She holds to heart values of integrity and fairness; respect for people and their perspectives; the importance of co-creation; openness and transparency of our services and a duty of candour.

Toto brings over 25 years of experience in a variety of roles in health, social care and the third sector. She is currently Chair of Patients’ Council, College of Medicine, and has worked in health informatics and the third sector, having started as a hospital Medical Physicist and researcher in non-invasive diagnostics.

As part of a spell of lifelong learning Toto completed a diploma in International Primary Care Research at UCL, specialising in the use of the narrative in health research, care and education.  

An area of special interest is valuation of personal and societal outcomes of  improvements in the NHS. 

Toto’s blog “We are what we speak”  is about changing the language in the health and care sector. She hopes this will promote good dialogue, as well as help change “patronising” to “supporting”  so that patients no longer are the elephant in the room. In her spare time, she climbs mountains and keeps bees.

“I am passionate about self management and believe that every person who either lives with a long-term condition or cares for someone in this situation should be given all the support they need to take an active role in managing their health and wellbeing. Self management puts patients in the driving seat. But it is not only important for patients; it is essential if the NHS is to cope with increasing demand coming from an ageing population and ever-present financial pressures.”

Renata Drinkwater is Chief Executive of self management uk (formerly the Expert Patients Programme Community Interest Company), a position that she has held since December 2010.  Prior to this, Renata was a non-executive director, joining in July 2008.

Renata has a very long-standing interest in health sector issues, with a strong focus on the improvement of outcomes for those living with or caring for people with long-term conditions.   She has just been elected as a trustee of National Voices and was recently appointed as a non-executive director of The Princess Alexandra Hospital NHS Trust.  Prior to this, Renata was an elected trustee of Diabetes UK, as well as being non-executive director of NHS North Essex Primary Care Trust Cluster and a non-executive director of an acute hospital trust, where she set up and chaired the Improving Patient Experience Group.

Renata has over 25 years’ experience of providing strategic business advice at board level to commercial, public sector and charitable organisations in the UK, Europe and the Middle East. In addition to her self management uk role, Renata is a Director at Capita Symonds Consulting, the UK’s leading provider of integrated professional support service solutions.

I am passionate about helping people recover, rather than just manage, their chronic pain and the SIRPATM approach enables this to happen via education and self-empowering treatment strategies, with self care as the primary focus.

Georgie Oldfield MCSP is a leading physiotherapist and chronic pain specialist promoting a pioneering approach to resolving chronic pain through her SIRPA Recovery Programme and her clinics in London and Yorkshire.

Georgie is the founder of SIRPA, an organisation dedicated to promoting the concept that pain can be due to learned nerve pain pathways rather than physical abnormality, hence full recovery is possible once the pathways are reversed.

As well as treating patients and training health professionals, Georgie gives talks and writes widely about the concept.

People have been self caring for centuries long before we had an national health system but over time we’ve somehow handed over a lot of the responsibility for our health and wellbeing to others, now we have a real opportunity to empower people to take control of their health to the best of their ability and together with our healthcare professionals create a health landscape that truly has patients at its centre.

Sarah Collis is the director of Self Help Connect UK and Self Help Nottingham and Nottinghamshire, and has more than 25 years experience working in health and social care in community settings, working with volunteer and third sector organisations to tackle health inequalities and promote community empowerment and social justice.

Sarah joined the charity in 2008 from the Big Lottery Fund, where her expertise was in the funding of infrastructure within the third sector. Before this, she worked extensively in the voluntary sector, engaging with people to find their own solutions to health and social challenges through mutual aid.

Self Help Nottingham and Nottinghamshire has been at the forefront of developing self help group support for more than 30 years, and its local knowledge and expertise has been recognised as a unique service, a service which the organisation now aims to replicate across the UK.

Sarah has led the self help charity to develop a national arm, which is launched in 2013 as Self Help Connect UK.

This new venture aims to promote and support the development of specialist resources for self help groups across the UK, and to underpin the development of a thriving and sustainable self help group sector.

By working closely with commissioners, the voluntary sector infrastructure and self help groups themselves, Self Help Connect UK aims to provide a national framework to support local self help and mutual aid groups and promote the value of peer support in sustaining self care and empowering patients.

Self Help Connect UK is committed to supporting the self care campaign and enabling the cultural shift which needs to take place to allow the principles of self care to become embedded into our health and social care economy.

As individuals we are all ultimately responsible for our own health and wellbeing, yet the skills and understanding to do this well aren't always woven into the fabric of our life’s journey. Supporting people to self-care provides them with the skills and knowledge they need to feel empowered to work in partnership with their care givers, so that the choices they make are the rights ones for them. As a clinical commissioner I promote self-care at every opportunity, ensuring that it is embedded in care pathways so that in time it will become innate within the ethos of our health and social care systems.

Dr Katie Coleman is the joint clinical Vice Chair of the Islington Clinical Commissioning Group. She chairs a number of committees, including the Patient and Public Participation committee, the Self Care working group and the Primary Care Development Group. She also sits on the Integrated Care Programme Board and the Quality and Governance Committee, providing support to the clinicians that lead on these areas.

Her particular interest is in empowering patients to enable them to self-care, understanding their experience of health services and how to make this service better by helping patients to have a collective voice in the Islington Clinical Commissioning Group’s work.

I am a keen supporter of self-care because it frees up GP time/resources for more complex cases, enables patient empowerment and gives me great job satisfaction from this enhanced and topical role.

I am a locum pharmacist with 37 years of experience in community pharmacy at a variety of outlets in London and West Midlands.

During these locum placements, one of my duties was to provide medicines for top ten minor ailments (under a PGD scheme) and also to advise on duration of the condition and any other relevant self-care and lifestyle issues.

Currently I work at the walk-in centre where we see a variety of self-limiting conditions which can easily be diagnosed by me and the relevant treatment provided accompanied by self-care advice.  The staff at the centre are very confident of my clinical knowledge and consultation skills.

Self-care is innate within us all, just as it is for a mother or father taking care of their child to offer them care and tenderness, yet somewhere in our busy lives we can lose sight that we have many daily choices, and a responsibility as to how we make those choices. Illness and disease not just in society, but specifically within our workforces (including the NHS) is a frequent subject of media attention, whether it is obesity, or diabetes, or other long-term conditions, or whether it is a more subtle degree of tiredness and exhaustion we can find ourselves or others to be in.

No one ever says 'do not take care of yourself', yet self-care is often not consistently practiced by so many of us. In my 6 year Phd study on 'Developing self-care at work' one aspect of this was that many people put everyone else around them first, before their own basic needs such as nourishing food, gentle exercise, regular rest. Self-care comes in a number of guises and no one size fits all.

One of our best tools for navigating self-care is our physical body that offers us many indicators as to how well we are feeling, and how the way we are living our lives is impacting on our health. One other important aspect of self-care is that it is possible that in not taking care of our selves, the services and work we offer can suffer. In addition, for the patients, carers, families, and general public, if those working in healthcare are not taking care of themselves, where is the inspiration for everyone else to do the same?

Self-care is fundamental to us all, and much needed in our current society - we owe it to ourselves - everyone of us.

Jane currently works as the Staff Engagement Manager at Great Western NHS Foundation Trust, as well as being a Senior Lecturer at the Health Services Management Centre, University of Birmingham, and a Leadership Development Associate at the Centre for Innovation in Health Management, Leeds University Business School.

She has worked in healthcare, and the wider public sector for over 34 years with an extensive background gained across Organisational Change, Leadership Management & Personal Development, Board Member & Executive Coaching and Employee Engagement with specialist expertise in dealing with deep rooted behavioural issues at work; health and wellbeing at work to support resilience and self-care for all NHS staff including healthcare professionals, and leaders, and is able to apply a range of diverse learning methodologies to enhance workplace productivity.

Jane has published papers, presented at many conferences, and also undertakes qualitative research in healthcare settings. Jane’s Phd studied ‘Developing self-care at work’.

Self care, when correct and appropriate, is better quality care, as it has the value added feature of empowerment.

I am a Canadian born and trained GP. I received my primary medical degree from the University of Toronto in 1978.

I practiced in the Toronto area before becoming qualified in the UK in 2007. I relocated to the UK with my English wife who wished to return home. I did a GP registrarship in 2006 as an induction into the NHS and received my MRCGP with distinction in 2007. In addition, I am also board certified as a Family Physician in Canada with the Canadian College of Family Physicians. I retain a licence to practise in Canada.  After qualification in the UK I became a part time partner in a small rural practice in East Sussex until July 2013.

I have been interested in the area of patient self care since the inception of my career, wondering why some people are able to resist becoming patients and others can’t wait to become one.  In my last GP surgery, I began a patient participation group to explore the possibilities of self care, amongst other initiatives. It became clear that patients needed very specific information that was credible.  I had been writing a monthly article for the village newsletter on health matters and it is striking how people will follow the advice of someone they have a relationship with.

It is important that they use information that has been “endorsed” as it were, by someone they know personally and can trust. In my current role as Deputy Medical Director of Integrated Care 24, a large not for profit out of hours provider, I am exploring ways of systematically encouraging self care when appropriate, to patients presenting in out of hours, as there is a vast opportunity to do this, if done intelligently and sensitively.  I am pleased to have found the Self Care Forum’s patient education materials as they are of very high quality and utility.

The greatest number of people care for themselves and it is the most satisfying part of daily activity. Supporting and facilitating self care is the next best job that you can have.

Secretary of NE London Pharmaceutical Committee (NEL LPC); Past-President of RPS, past Chairman of NPA, Past Vice-Chairman of PSNC. Designer of a new pharmacy practice model: Selfcare Pharmacy that empowers patients, Carers and the public.

Through my experience as patient, parent and carer, I have learned to value the relationships I have with my doctors and their time and attention and my own ability to self-care. But I also want to be confident to distinguish when I can self-care and when I need to call on medical support. As a coach, working with unpaid carers and people with disabilities I have seen how coaching can support self-care by helping people to develop confidence to take control of their lives and achieve their health and wellbeing goals. I would like to explore how using coaching to support self-care can help doctors and patients alike.

Catherine is the current chair of the Patient Liaison Group for the BMA. She is an ex-officio member of BMA Council, Political Board and Professional Activities Board. The Patient Liaison Group has produced a Self-Care resource which is available on the BMA website.

Catherine worked for 23 years in local government in housing, social services, policy and organisational development. She currently works as a coach/mentor and consultant with public and voluntary sector organisations, helping them to review services to meet the needs of users, and coaching their staff to help them grow and develop in their careers.

She has a long-standing personal and professional interest in health and is committed to improving health outcomes for individuals and for society as a whole. As a former carer and someone with a disability, she is using coaching to support unpaid carers and people with disabilities to build confidence and motivation, develop resilience, and achieve success in all aspects of their lives.