Know Your Own Health: an integrated pathway approach to self-care John Worth

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

Thank you for listening

[email protected]: johnworth01