Meet the team: Busyfish
Thomas John Rose
University of Birmingham, Institute of Applied Health Research
- England - West Midlands
- Jane Thomas, Head of Stakeholder Engagement and Patient Involvement, Worcestershire Health and Care NHS Trust
- Gary Morgan, Head of Communications, Worcestershire Health and Care NHS Trust
The challenge and opportunity we are focusing on
A Patient Self-Management programme was offered in Worcestershire for a year from June 2016. It offered those with long term conditions two half day courses and access to a range of online materials to help them develop the skills, confidence and knowledge needed to better manage their conditions. The course evaluation indicated that those who attended undoubtedly benefitted from the learning – it recorded a 90% return rate for day two and a majority rating of excellent or good for course content.
The local Sustainability and Transformation Plan indicates the central priority of self-care. However, limited resource capacity to deliver more courses, combined with feedback from Worcestershire people that told us that most people wanted to receive information through a conversation with their health care professional has led us to re-consider our mode of delivery. Meetings with the patient trainers of the programme similarly indicated the view that the work would be better linked to GP Practices/local nursing teams.
In Worcestershire there are 14 local Neighbourhood Teams comprised a range of nurses, therapists and other professionals who work to keep people well at home. The teams provide the essential foundation upon which we are building out of hospital care and improving patient experience, with teams built around GP practices wherever possible. The teams bring together staff from a range of local health and social care providers, who are working together in new and integrated ways.
Our project is about how we can embed patient self-management into the work of these teams. We would focus on one or two of the most developed teams who are at a state of readiness to embrace this organisational development initiative. Our aim would be to co-produce this work with these teams, their patients and their carers – over the coming few months we want to work together with these colleagues to understand how to bring the materials and peer support into the work of the teams so that the development can then be adopted by other teams.
Our project will address the challenge we face. Firstly, it will bring prevention and self-care knowledge to many more patients and carers, considerably extending our reach. Secondly, the project will enable us to respond to what people told us they wanted because it will look to embed the knowledge in the health care interaction, supported by peer supporters.
The benefits we expect for those directly involved and for the Q community
The benefits of this project for patients is that they would gain access to key information – the skills, confidence and knowledge they need to better manage their long term conditions. The hope is that this information will enable them to become more active, aware, goal-orientated and adopting of new behaviours where they see themselves as part of their health care team and where they want to maintain a healthier lifestyle. The benefit for staff is that they would be working to empower patients, carers so making them more effective. The benefit to the system is that the services become more responsive and sustainable, making best use of local resources.
This project will achieve the following aims:
- Evaluation of our current PSM programme.
- Determination of a new PSM programme in conjunction with selected Neighbourhood Teams.
- Co-production of the final programme with a Focus Group made up from previous programme attendees and representatives of selected GP practices.
- Training in delivery of new programme.
Details of our current Patient Self Management programme can be found at http://www.catmalvern.co.uk/nhs/PSM01.html
How you can contribute
- Your support for our project. (Please add your support via the link).
- Comments on our proposal.
- Feedback if you have a similar scheme.
CoCreatingHealth_tutorcasestudy (PDF, 18KB)