On the following pages you can find:
There have been many published articles that demonstrate that the use of self care training for people with long-term health conditions is effective both in terms of saving money and increasing quality of life. However, these savings are normally expressed in terms of the trial on which the evidence has been found.
The Department of Health, in collaboration with Expert Patients Programme CIC, have developed a new tool to help make the local business case for self care education. This model allows the published findings to be calculated for given GP practices, PCTs, SHAs or GP commissioning pathfinders with their own characteristics in terms of current service levels, prevalence of the long term condition and costs. It does not give a guarantee savings will be achieved, rather an indication of the costs and benefits that research suggests are likely. The tool, based on an excel workbook, contains default costs and benefits of self care courses based on public research. It also allows data based on local knowledge and circumstances to be entered to check where the breakeven point is. It can suggest the most cost effective way of providing self care education based on local population characteristics and total budget available.
EPPCIC and the Department of Health expect that this new evidence based modelling tool, will help stimulate demand for self care education courses, both generic and disease specific, by providing commissioners with an evidence based business case, tailored for their area – with information about costs and cost savings based on local circumstances.
The tool uses information on GP consortia known to the Department of Health in autumn 2010, but allows the user to “input a revised GP consortia configuration”. Details of the research used are available by clicking on the ‘references’ section in the excel workbook. There are two documents to download, a detailed user guide and the excel workbook which is the actual analysis tool.
It is probably best to open the user guide first as there may be some settings that have to be changed on your computer to ensure that the macros in the model work correctly.
Open the user guide: Self Care Local Business Case Tool User Guide
Open the Analysis tool: Making the Case for Self Care Education
Kate Lorig is a Professor Emeriti at the Stanford University School of Medicine, and Director of the Stanford Patient Education Research Center. She has a master in nursing and a doctorate in public health with a specialty in health education.
For more than three decades, using a public health approach, she has developed and evaluated community-based patient education programs for people with chronic conditions including arthritis, heart disease, lung disease, diabetes and AIDS. This work has been extended to the Spanish Speaking, and Native American communities.
Below are links to an abstract and vidoe of her presentation at Careum Congress 2010 held in November 2010 in Zurich.
Download an abstract of her presentation : Self Management a 30 year history Kate Loring November 2010
Watch a video of the presentation on YouTube: http://www.youtube.com/watch?v=qaYPjYjFZD4
For a growing library of articles and published papers from experts and professional organisation, go to the Published Papers page where you will find links to the following papers:
Healthy lives equal healthy communities
EPPCIC February 2011
Route Map for Sustainable Health
NHS Sustainable Development Unit February 2011
Measuring Impact in Health Improvement
The Local Government Group February 2011
Managing sickness absence in the NHS
The Audit Commission Health Briefing February 2011
Recognised, Valued and Supported: Next Steps for the Carers Strategy
Cross Government publication November 2010
Healthy Lives, Healthy People: Our Strategy for Public Health in England
Government White Paper, November 2010
The Quality of Care in General Practice
The Kings Fund, October 2010
Self Care Reduces Costs and Improves Health - The Evidence
EPP CIC, June 2010
Liberating the NHS
Government White Paper July 2010
EPP CIC consultation response to “Liberating the NHS”
EPP CIC. October 2010
Summary of the NHS White Paper, ‘Equity and Excellence: Liberating the NHS’
Sally Cavanagh – QISMET, Dec 2010
NHS Resources and Reform, Response to the White Paper 'Liberating the NHS' and the 2010 Spending Review
The Nuffield Trust, October 2010
Liberating the NHS: legislative framework and next steps
Government response to consultation process, December 2010
The working relationship between EPP CIC and the Department of Health
Department of Health and EPP CIC, October 2010
Self Care: A National View in 2007 compared with 2004-2005
Department of Health commissioned study, June 2007
Research Evidence on the Effectiveness of Self Care Support.
Department of Health, December 2007
Improving Care for People with long Term Health Conditions.
Department of Health, 2010
Incentivising wellness: improving the treatment of long-term conditions
The Policy Exchange, November 2010
Commissioning Mental Wellbeing: A leadership Brief for Boards and Senior Managers
The International School for Communities, Rights and Inclusion - University of Central Lancashire, November 2010
Avoiding Hospital Admissions: what does the research evidence say?
The King's Fund, December 2010
Modernising Commissioning: Increasing the role of charities, social enterprises, mutuals and cooperatives in public service delivery
The Cabinet Office, Office of Civil Society, December 2010
More for Less 2009/10: Are efficiency and productivity improving the NHS?
Audit Commission, Health Briefing, December 2010
Equality Act 2010: What do I need to know? A summary guide to your rights
Government Equalities Office, October 2010
Applying Behavioural Insights to Health
The Cabinet Office, Behavioural Insights Team - December 2010
The Roger Bannister Health Summit, Leeds Castle, 2010
Liberating The NHS - What Might Happen?
Engaging the public in delivering health improvement
Research briefing by Leeds Metropolitan University
We have a selection of published resources, from published documents to online toolkits. Visit the Self Care Resources page.
We have a selection of course manuals and handbooks available as PDFs for organisations with tutors on the register. Each manual costs £50.00 but can be printed out as many times as needed. For a full list of manuals and an order form open the Course Manuals page
We can supply a selection of conversion training resources to Lead Trainers on the National Register of Self-Management. For more details open the Lead Trainer Resources page
Most of the files are PDFs - downloadable, read only versions of documents. To be able to open the documents you will need a copy of Adobe Acrobat Reader. This is a well known, free program that you can download from the Adobe website.
Don't worry, it is perfectly safe to download this program.
If you come across something that you feel would be of interest to your professional colleagues, please email us at admin@selfmanagement.co.uk. We have to be aware of copyright, but if you find an article published in the press, or in a trade publication, then let us know and we can highlight the article on our site. Some of you may have produced resources that have proved useful during course delivery, why not let us have a copy and we can share your best practice with others in the self-management community.