know your own health: an integrated pathway approach to self-care john worth
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Know Your Own Health: an integrated pathway approach to self-care John Worth. For people with LTC’s, changing your lifestyle, and making improvements can be really hard. People need a range of things to help them be actively engaged with their health and achieve their goals. - PowerPoint PPT PresentationTRANSCRIPT
Know Your Own Health: an integrated pathway approach to self-care
John Worth
For people with LTC’s, changing your lifestyle, and making improvements can be really hard
People need a range of things to help them be actively engaged with their health
and achieve their goals
Communication skills
Health literacy
Information specificto their health situation
Self care support
Shared decision making aids
Connectedness
Helping people with LTC’s build their skills and confidence to improve their health outcomes:
Online self-care platform
Helps people achieve realistic health goals
Audits peoples’ confidence and ability to care for themselves
Integrates with NHS services and is designed to lead people out of high NHS dependency
Saves clinicians’ time and cost to services
Delivers through mobile and online channels
Complements and integrates with telehealth services and personal health records systems
Case Study:How Somerset supports people to live with pain
Problem:
95,000 in Somerset living with daily pain
13,000 being treated with opioid analgesics
Rising prescribing costs:
£2.1m in 2010 up from £1.7m in 2008
Resulting in:
Over reliance on costly injections and medicines with poor return
1000’s patients in cycle of dependency and hopelessness
Solution:
GP’s: Will refer 1,000 high cost patients per annum to pain management service
Pain management service: Supports them to live with pain, help them manage the consequences of pain (1-3 appointments)
KYOH: Provides the ongoing self-care pathway, support networks, helping people maintain activation levels, sustain improvements to quality of life
KYOH is a single point of access for patient education and self-care services
Coaching: telephone mentoring, group coaching, online courses etc
Care planning: patients understanding their needs, creating action plans
Lifestyle management: support to change behaviours Social network: safe private networks of peer or family support Health literacy: encourages ownership of their health information
The self-care eco-system
1. Telehealth is not a stand-alone intervention2. Nor is ‘patient access to their own records’3. They are both part of a diverse self-care eco-
system, dependent on integration with a behaviour change model such as KYOH
Self-care checklist
1. Provide tailored self-care information and interventions to support individuals to achieve personal goals
2. Make self-care local and community focus3. Collaborate: start small, regular valuations of
levels of activation, scale gradually
