effectively support people to self-manage.
Using the House of Care model, emphasises that self-management support relies on 5 key elements across the local system:
Commissioning is the foundation of self-management support. Effective commissioning recognizes the social as well as medical aspects of long term conditions. It holds NHS services to account for working in ways that facilitate people to self-manage, and it ensures that people have access to a range of social interventions to complement their clinical care.
People with long term conditions
People with long term conditions need the motivation, knowledge, skills and confidence to better manage their own health. This can be provided through a variety of mechanisms including training in self-management, one-to-one health coaching, peer-support and online tools. The most common starting point for health economies wanting to support people to self-manage is to provide training that gives people a better understanding of their condition(s) and the knowledge, skills and confidence they need to manage those conditions and the impact they have on their day to day life.
Health professionals, health coaches and others who support people with long term conditions
Health professionals, health coaches and others who support people with long term conditions need the knowledge and skills for technical tasks, but also the specific skills and approaches which have been shown to be effective in supporting and enabling people to self-manage.
Organisationnal systems and processes
Organisational systems and processes need to be embedded with the tools, systems and processes that support people to self-manage (such as providing patients with their test results before their appointment) and that help professionals to support them (such as on-screen prompts to refer people to self-management training).
Peer support needs to be routinely integrated into the health care system so that people are supported to live well with their condition beyond their appointments with health professionals and services. It includes interventions such as peer support groups, debt counselling, walking groups, befriending, one-to-one coaching and community cooking classes. There is a growing body of evidence supporting the benefits of these types of community-based services for people with long-term health conditions.