Falls, fracture prevention and bone health Jane Reddaway (Falls prevention lead TCT)
Clinical Lead Self Care and Prevention
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Transcript of Clinical Lead Self Care and Prevention
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Enid FeatherClinical Lead Self Care and Prevention
Self care and prevention through patient and staff activation
October 2015
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Aims of Presentation
• Know what is meant by self care and prevention
• Understand some of the ways self care can be encouraged and supported.
• Look after yourself information• Open a discussion on ideas for developing
support for self care
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Context• NHS success at saving lives so people live longer• Many with a significant proportion of poor
health• More people with more than one long term
condition• Some conditions attributable to lifestyle choice• More people with caring responsibilities• Increased demands on health and social care
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What is self care?‘Self Care is a lifelong habit for patients and the public
dealing appropriately, effectively and safely with their own minor ailments
and long term conditions, taking preventative measures to stay fit,
and maintaining good physical and mental health and wellbeing.’
Ref Health Care Forum.
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The Self Care Continuum
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Prevention1. Primary prevention reduces the risk of health
problems by reducing lifestyle risks or targeting high risk groups
2. Secondary prevention intervenes in the early stages of disease to reduce the impact on function and independence
3. Tertiary prevention prevents or delays disability from long term conditions.
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The Self Care Continuum
Self care
Self management
Medical emergencies
Management of general health and illnesses
Shared roles for people with long term conditions
Opportunity during
recovery and rehabilitation
Primary prevention
Secondary and tertiary prevention
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A social and medical model
Self care
Self management
Medical emergencies
Health and wellbeing
managed in a social context
Health and wellbeing managed in a social context with medical
model support
Medical model
Social model Social and medical model Medical model
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Self care and prevention is for everyone
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No clear road map for the journey
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What works?
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The King’s Fund House of Care
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What works?• Finding out what is important to the person• Involving people in decision making• Structured information• Joint goal setting, plans and reviews• Self monitoring symptoms and escalation plans• Support with social, emotional and physical
impacts of illness• Opportunities to share and learn from others
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What do engaged patients look like?
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Benefits of engaging patientsCan have a positive impact on people’s• Physical symptoms and clinical outcomes • Ability to cope day by day• Attitudes and behaviours• Quality of life and health and wellbeing
The evidence that this reduces costs is variable
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Self care and management model
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What are we doing in AW&C?• Promoting the self care and prevention message• Working with staff and services across the area• Engagement with service users• Linking with partner organisations for win win• Establishing a staff self care network• Improving self care information on the CCG public
website• Including in service specifications • Building into the New Models of Care
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Look after yourself• Maintain a healthy weight• Keep active• Drink alcohol sensibly• Hobbies and interests• Contact with family and friends• Resist smoking• For information look on NHS Choices
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The AW&C Self Care NetworkThe link to sign up is
http://awcselfcarenetwork.ning.com/?xgi=1glmj6XvGcLNA6
Please encourage people to join.
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NHS ChoicesYour Health, Your Choice
The link is
http://www.nhs.uk/pages/home.aspx
Health A-Z Services near youLive Well Health newsInteractive tools/apps Care and Support
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Community Health Maps
The link to community health maps is
http://health-partnership.org.uk/hp/local-info-sheets/
Please encourage people to use
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Self Care Week 16-22 November 2015Bradford and Craven Programme
organising public events and resources•Developing Self Care week packs•Public events at Keighley Shopping Centre and Craven Court in Skipton•Promotion of Pharmacy before and during self care week•Encouraging displays in
- GP practices - Leisure Centres- Schools and libraries - Local Colleges
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Questions and discussion
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References1. Person Centred Care: From ideas to action, The Health Foundation, October
20142. The Self Care Continuum adapted from the Self Care Forum Website3. The need for an integrated approach to supporting patients who should self
manage, Jim Phillips, Self Care Journal, March 20124. Delivering better services for people with long term conditions: Building the
house of care, The Kings Fund October 20135. Bradford District and Craven Self Care and Prevention Programme Brief. May
20156. The NHS Constitution March 20137. Five Year Forward View October 20148. The Health and Social care Act 2012