Self management for life

WELCOME

Today’s WebinarSelf-Management for Life

 Self-Management for Life

 Wednesday 19 November 20141pm – 1.45pm

Renata DrinkwaterCEO & Trustee Self-Management UK

&Beverley Matthews

LTC Programme Lead, NHS Improving Quality

Bev MatthewsA nurse by background, Beverley has worked extensively throughout the NHS in a variety of clinical, managerial and strategic roles. Beverley’s current role as Programme Delivery Lead for Long Term Conditions Improvement Programmes: LTC Year of Care Commissioning Model and LTC Framework. Prior to joining NHS Improving Quality in April 2013, Beverley was Director of NHS Kidney Care and NHS Liver Care.

Passionate about service transformation through developing networks and leading complex programmes. Providing strategic leadership to partners within health communities, managing stakeholders and working across agencies.

Renata DrinkwaterChief Executive of self management uk (formerly the Expert Patients Programme Community Interest Company), a position that she has held since December 2010. Prior to this, Renata was a Non Executive Director of the organisation from July 2008.

In common with over 70% of self management uk staff and volunteers, she lives with several long-term health conditions herself, and therefore has both a personal and professional interest in health sector issues, with a strong focus on the improvement of outcomes for those living with long-term health conditions, for which she is a passionate advocate.

Meet the Speakers

Self-Management for Lifeof Care foundation. Understanding the difference between self-care and self-

management Understanding how self-management benefits to patients Understanding how self-management benefits to clinicians and

healthcare professionals

Learning Outcomes

Beverley Matthews

LTC Programme LeadNHS Improving Quality

[email protected]

Bespoke Support

Tools and Resources

LinksLong Term Conditions Dashboardhttp://ccgtools.england.nhs.uk/ltcdashboard/flash/atlas.html

Long Term Conditions House of Care Toolkitwww.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/house-of-care.aspx

SIMUL8: Simulation Modelhttp://www.simul8.com/viewer/download.htm

#LTCyearofcare #LTCimprovement @NHSIQ

Case Studies

http://bit.ly/1u5iYRa http://bit.ly/1BKddT1

LTC Learning Forum

“Lunch & Learn” Webinar Series&

Bite Size Master-classes

Virtual Learning Network “Lunch & Learn”

• 45 minute “real time” Webinar sessions

• Topics agreed and learning outcomes identified

• Faculty of Speakers identified

Open invitation

Bite Size Learning Master-Classes

• Pre-recorded 20 minute Master-classes

• Master-class either as stand alone sessions or pre-requisites for Wednesday “Lunch & Learn” Webinars

• Faculty of Speakers identified

Open invitation

To register email [email protected]

LTC Lunch & Learn Series ….coming soon…Date Webinar Hosted by Bev Matthews &

3 December 20141 – 2pm

"Population level commissioning for the future"

Dr Abraham GeorgeKent County Council

7 January 20151 – 2pm

Self Management Support Return on Investment

Renata DrinkwaterChief Executive & Trustee Self Management UK

21 January 2015 Commissioning for Outcomes Bob Ricketts CBEDirector of Commissioning Support Services & Market Development, NHS England

Self-Management for LifeWebinar 19th November

Renata DrinkwaterChief Executive

self management uk

self management uk

Learning objectives for today

• Understanding the difference between self-care and self-management

• Understanding self-management benefits to patients• Understanding self-management benefits to clinicians,

healthcare professionals and the wider system

self management uk

• Formerly the Expert Patients Programme Community Interest Company, now a registered Charity

• Over 12 years’ experience working within/for the NHS

• At the forefront of self-management education and training

• Facilitated delivery of programmes to 100,000+ patients with long-term conditions

• Also programmes for clinicians/healthcare professionals

• Delivered face to face or online

The difference between self-care and self-management

The Self Care Continuum

Pure self care

Responsible

individual

Pure medical care

Professional responsibility

Daily choices

Lifestyle

Self-managed ailments

Long-term conditions

Compulsory psychiatric

careMinor

ailmentsAcute

conditionsMajor trauma

Healthy living Minor ailments Long-term conditions In-hospital care

Department of Health (2005). Self Care – A Real Choice: Self Care Support – A Practical Option. London: Department of Health

Benefits of self-management to patients (1)

• Increased self-confidence and reassurance

• Increased control over own health and wellbeing

• Better involvement in shared-decision making about own

health and wellbeing

• Reduced time off work

• Better symptom management, such as reduction in pain,

anxiety, depression and tiredness• Improved physical symptoms and clinical outcomes in people

with arthritis, asthma, diabetes, hypertension, heart disease, heart failure, stroke, cancer and other conditions

Benefits of self-management to patients (2)Patients want to help themselves!

Benefits to clinicians, healthcare professionals and the wider system (1)

Benefits to clinicians, healthcare professionals and the wider system (2)• New self management uk tool developed for

Commissioners to demonstrate benefits• Based on model originally co-developed with the

Department of Health, now significantly enhanced• Shows financial benefits of delivering our programmes

patients (e.g. Self Management for Life/Expert Patients Programme)

• Uses Department of Health/Office for National Statistics figures and evidence from other key studies

• Calculates impact for any Clinical Commissioning Group

Benefits to clinicians, healthcare professionals and the wider system (3)

Case Study CCG - Typical system usage and medication spend

Statistics for CCG ValuePeople with a Long-Term Condition 61,539People Newly Diagnosed (Per year) 4,308Total GP Visits 300,347Total Nurse Visits 165,191Total A&E visits 67,941Total Emergency Admissions 17,015Total Hospital Admissions 40,004Total Outpatients Visits 203,576Total Medication Spend £27,968,172

Typical Savings

• Population with long-term conditions: 61,539

• If training delivered to just 240 patients per annum (15 x 7 week programmes)

• Potential gross saving due to reduced healthcare utilisation: £210,000 per annum

Typical Return on Investment

Yes, £2.24 saving per £1.00 spent

Cost Benefit Default Costs

Total Cost of Programme £93,750

Total Practice and Commissioner Savings £210,073

Total Saving over Contract Length £116,323

Saving per Year £116,323

Return on Investment: For every £1 spent: £2.24 is saved

Benefits to clinicians, healthcare professionals and the wider system (3)

Finally, we calculate if self management uk programmes were commissioned across England for just 10% of people with Long Term Conditions (c1.57m), there would be:

• Gross potential system savings of some £1.38bn pa

• Net potential savings of some £763m pa

Renata DrinkwaterChief Executiveself management uk

T: 03333 445 840 M: 07500 039 736

[email protected]

[email protected]