Best Practice

Scroll down to view case studies from the ‘Home care is best’ campaign, Bromley by Bow Centre, Self Care Guide for Patient Participation Groups and more…

Successfully Delivering Self Care Week: Case Studies and Practical Advice


Casestudiesandpractical adviceSelf Care Week
is the national annual campaign to raise awareness of how people can take care of their own health whether it is to prevent disease or illness, understand how to look after minor ailments or how to manage long term conditions.

As organisers of the campaign, the Self Care Forum provides support and resources to patient-facing organisations to use the week as a focus to promote self care and target messages to their patients and population.

Participation in Self Care Week has increased each year with varying degrees of involvement from displaying posters in reception areas, holding self care seminars and organising full-scale self care events.  To help provide inspiration for organisations planning to participate in future Self Care Weeks, below is a report which showcases two exemplar Self Care Week campaigns from 2014.

These models of excellence can be emulated in every location in the UK and a guide to help with this is also available.

Report

Guide to Organising Self Care Week

Toolkit of Self Care Week material from Bracknell and Yorkshire:

Bracknell

Yorkshire

Additional material for Self Care Week

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GPs get ‘animated’ to improve care for millions of patients with long term conditions

selfcarevideo

Self Care Forum Board Member and Royal College of General Practitioners (RCGP) President, Professor Mike Pringle narrates this three minute video to support health professionals during their consultations with people with multiple and complex illnesses.

The video attempts to help health professionals with care planning, a holistic, long-term approach to delivering patient care that aims to help people take more control over their  own health – with the support of their GP practice – and stay well.

Commenting on the video, Professor Pringle said “this animation emphasises the importance of patient centred care, and how care planning can free the GP to focus on priorities and caring. It also shows how this ‘smarter’ way of working not only allows the practice team to care for their patients but how in doing so it also empowers the patient and helps to make them more confident in managing their condition(s) and therefore their lives.”

The video was launched by the Royal College of General Practitioners (RCGP) on 16th January 2015 to improve care for millions of patients with long term conditions.

With an ageing and growing population and more patients needing treatment for multiple conditions, good care planning allows GPs and patients to make the most of the consultation and puts the focus on delivering care that will make a tangible and long-term difference to patients’ lives.

The recent independent Inquiry into Patient Centred Care in the 21st Century, commissioned by the RCGP, recommended that all GP practices follow a personalised care planning approach for any patient in need of proactive care. This could include patients with long-term conditions, those with learning disabilities, and those living with multiple conditions.

The animation can be viewed here: www.rcgp.org.uk/care-planning

Or on the RCGP Youtube page

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Health Coaching – a powerful approach to support Self Care

coachingby Catherine Macadam, Coach/Mentor and Consultant
Health services in the UK are under increasing strain. Evidence shows that self care can play an important part in reducing calls on GPs, the use of prescriptions and referrals to secondary care. But people lack skills and confidence to self-care.  By adopting a coaching approach doctors and other healthcare workers can help restore confidence, reduce dependency and free up more time to care for those with serious and complex conditions. At the same time they will learn different ways of communicating which will pay dividends in many other aspects of their work.

For further information please click here

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Islington’s Approach to Integrated Care

islingtoncasestudyby Melanie Brown, NHS Improving Quality
Since inception as a shadow CCG, Islington has been working to embed patient and public participation at the heart of all its commissioning activities. Central to this is ensuring that people are supported to work in partnership with the health and care professionals. In order to do this systematically, Islington CCG has been building their “House of Care”, the following case study describes the journey to date, the achievements, learning points and challenges for the future.

To read the full case study please click here

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Case study: 
The DIY Health Model to empower parents in managing children’s health

firstaidThe DIY Health model was co-created by Bromley by Bow Health Partnership (BBBHP, Tower Hamlets, London) in partnership with the community it serves in response to a need identifiable across most general practices in the UK.

Parents of children under the age of 5 were frequently re-attending St Andrew’s Health Centre (one of the surgeries run by BBBHP) for support with managing self-limiting childhood problems.  These repeat visits led to a recognition that health care professionals needed to work better with parents and carers to identify how to provide knowledge and skills that ensure they were more confident to manage their children’s health at home and when to seek further help.

The first cohort of the programme, with topics including fever management, diarrhoea, vomiting, coughs, cold and flu, saw outstanding results.  Not only were parents more confident and empowered, in the three month period looked at, parents who had attended the most sessions had a reduced attendance for the GP, as well as out-of-hours GP and A&E.

To read the full case study please click here 

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Case study: St Lawrence Surgery

pictures_of_st_lawrence_011Of course no one likes to be ill, but it happens. And, if it does, and self care isn’t an option then you want to visit a surgery with a friendly efficient primary care team in pleasant surroundings. St Lawrence Surgery in West Worthing has both. There you will find dedicated staff serving the local community in a building that is light and airy, with paintings from local artists adorning the walls.

The primary care team at St Lawrence consists of 9 GPs, 3 – 4 trainee doctors, 7 nurses and 15 reception/admin staff. The addition of an in-house pharmacy means the pharmacist is on hand to offer self care advice on over the counter medicines, as well as help and advice on medicines use, blood pressure monitoring and smoking cessation.

Overseeing the complex needs of 13,500 patients is Jo Wadey, an extremely enthusiastic practice manager. The surgery is made extra special because of the hard work of members of the patient participation group (PPG). Headed by PPG Chair Bob Barden, members, who meet 7 or 8 times a year, give their time freely. As well as being Self Care Champion for the practice, Chris Moon-Willems is the external liaison co-ordinator for the PPG.

St Lawrence Surgery is also a model of self care excellence.

To read the full case study please click here

St Lawrence’s Practice Manager and their PPG Self Care Champion explain how PPG engagement can support patients in their health care:

The slides that accompany the presentation above can be downloaded here

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Self Care Guide for Patient Participation Groups

NAPPlogoTo download the ‘Self Care Guide for Patient Participation Groups’ please click here

The National Association for Patient Participation (N.A.P.P.) has taken on the role of the national patient’s champion for the Self Care Forum.

Many patient participation groups (PPGs) already promote good health to their local communities. Supporting self care provides a further opportunity for PPG members to have an active role in their GP practice; ensure that local people understand and get the best out of their NHS services; and that local GPs, nurses and practice staff are able to focus on providing treatment and support for those with long-term and complicated health problems.

The campaign also offers an opportunity for PPGs to raise their profile, and further develop their role as advocates for the NHS and its services in their community

This guide gives information about the self care campaign and covers the following:

  • Why self care matters
  • What is the Self Care Forum
  • What PPG members have told us
  • What can your PPG do
  • Resources available
  • Case-studies

N.A.P.P. is uniquely placed as the only UK wide umbrella organisation for patient-led groups within general practices. It has over 30 years’ experience and expertise in promoting, supporting and developing Patient Participation Groups (PPGs) working closely with GP’s, practice teams and patients.

Patient participation is a growing social movement – over 60 per cent of general practices in England now have a PPG and the number is rapidly increasing. Groups are also forming in pharmacies and dental practices. Virtual PPGs now exist alongside ‘real’ groups facilitating dialogue with the whole patient population through email networks and social media.

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Award-winning ‘Home care is best’ campaign reduced antibiotic prescribing by 15%

posterSelf Care Forum Board member and Vice President of the National Association for Primary Care (NAPC) devised a boxset for coughs and colds for use in his surgery.

The surgery is highly progressive in its attempts to educate patients into looking after their health, and the cough and cold exercise is the latest in their endeavours.  Called “home care is best”, the boxset comprises a poster, a presentation on “antibiotics and respiratory tract infections” and a series of factsheets to inform patients of their symptoms including red-flags and duration. Lastly, the boxset also includes the NICE guidance for upper respiratory tract infections.

Talking about the initiative, Dr Smith said “This campaign was developed for our practice to deliver consistent messages to patients about some very common self-treatable illnesses. We don’t call them ‘minor’ as they don’t feel that way to the patient.”

Patients seem to have responded positively to the campaign, “the poster has had a great impact” commented Dr Smith “with some patients starting a consultation with “Looking at your poster, I probably didn’t need to come in. I had no idea these illnesses lasted so long. I’ll know next time”.

Colleagues in the surgery also feel the exercise has been successful saying “it’s so powerful to have the real evidence to present to patients”.

Dr Smith is happy for others to use the boxset although asks that people use their good clinical judgement when doing so.

Download the boxset resources below:

Dr Pete Smith has also had his study to reduce antibiotic prescribing included on the NICE “shared learning” database.  The study, which was presented at the Annual Self Care Conference on 12th November was evaluated and concluded that prescribing for antibiotics was reduced overall by 15%.  Dr Smith said that the system was not difficult or expensive to implement and, he told delegates to “just do it”!  To view the submission please click here

The practice-wide programme won the NICE Shared Learning Award 2014.

The study has also been published in the journal, SelfCare

Find out from Dr Pete Smith how successful his surgery was in reducing antibiotic prescribing at his surgery.  And how easy it is to implement this system:

The slides that accompany the presentation above can be downloaded here

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Bromley by Bow Centre

At the Bromley by Bow centre, which is situated in an unexpectedly lush and tranquil setting among the high rise blocks of East London, promotion of self care threads its way through every aspect of patient care. Read the full case study here.

Learn more about the work being done at the Bromley By Bow Centre including details of the Centre’s social prescribing by watching the video below:

The slides that accompany the presentation above can be downloaded here

The centre’s website can be found at: www.bromleybybowhealthcentre.nhs.uk

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The Self Care Aware Pilot in Lancashire North CCG

Dr David Wrigley has patients that come to the surgery having had a cough for an hour!  A Self Care Aware pilot was needed to help educate patients in his CCG in Lancashire.  At the 2013 Annual Self Care Conference he presented how the pilot was implemented in order to help manage demand in his area.  There were challenges along the way but he expresses how important and fundamental this work is, he makes it clear that it will make a difference to patients as well as doctos, nurses and the NHS.  He also says it costs nothing apart from commitment.  

The slides that accompany the presentation above can be downloaded here

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Case studies from 2010

In 2010 the Self Care Campaign conducted case studies around the country to gather examples of self care in practice. Please click on the links below to see the case studies in full.

Do you have an interesting example of how self care works at your practice or an initiative you would like to tell us about?
We would love to add your case study to the website so that we can continue to learn from each other.  Please contact Libby Whittaker at libby.whittaker@selfcareforum.org or on 020 7421 9318.

Culm Integrated Centre for Health
At Culm Integrated Centre for Health there is an awareness among all staff that a conventional prescription is not the most appropriate or effective course of action for many patient ailments. As a result, education runs throughout the practice with patients firmly encouraged to take an unprecedented interest in solving their problems for themselves. Read the full case study here.

Nuffield Road Medical Centre
At Nuffield Road Medical Centre, Cambridge, encouraging self care in patients is a team effort in which clinical and admin staff all have important roles. Read the full case study here.

Thornley House Medical Centre
At Thornley House Medical Centre in Hyde, Dr Amir Hannan has developed an innovative website (www.htmc.co.uk) to act as a first port of call for self care. An ever growing and changing resource that is able to respond to patient needs, the website has the full backing of all practice staff and gradually the message about self care is starting to get through. Read the full case study here.

Green Bank Surgery
The staff at Green Bank Surgery, Warrington, work closely with the community to find out what services they need to stay well and self care. Read the full case study here.

Bracknell and Ascot GP Commissioning Consortium
The GP commissioners at Bracknell and Ascot are committed to self-care and trial self-care initiatives as pilots before rolling them out consortium-wide. Read the full case study here.

Cumbria Senate
Cumbria Senate is a GP-led organisation that sits above Cumbria’s six clinical consortia. The Senate faces many health challenges unique to Cumbria’s locality and population, and so has developed innovative ways of commissioning self-care. Read the full case study here.

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