We have experience of providing bespoke consultancy packages to address the impact of supporting self-management in health and social care teams.
Our consultancy package goes beyond training, and we use the principles of co-production by working with staff at all levels to understand the service, training requirements and individual needs of patients. We enable teams to deliver and sustain best practice in self-management support, measure impact, increase efficiency and importantly improve the experiences of individuals living with long term health conditions and their families.
Our approach directly supports findings from an independent evaluation of the Health Foundation's Co-Creating Health Programme that concluded that, to have the best chance of success, there needs to be a strategic, whole-system approach to implementation of self-management support.
We do this by:
1. Upskilling the workforce across a pathway or service to be confident to integrate self-management support into everyday practice and across workforce boundaries, by training mixed workforce groups (e.g. acute and community rehabilitation, integrated care, reablement, discharge avoidance teams).
2. Facilitating a positive impact on self-efficacy, mood, quality of life and well-being of individuals living with long-term conditions. Bridges stroke self-management programme has shown to impact on clinical outcomes and can be delivered as part of usual care and rehabilitation. This affords greater access to best practice in self-management support, by including individuals hard to reach through traditional group programmes. In this way, the provision of self-management support becomes integral to rehabilitation interactions through key changes in communication and care provided.
3. Working with practitioners to support individuals and families to be more in control of their everyday lives and health, which has the potential to reduce repeated, short term healthcare interventions and empower individuals to be more in control of their health and well-being. Our work builds on positive findings from an NIHR cluster feasibility trial (Jones et al. 2015) showed teams using Bridges stroke self-management programme were more confident to discharge patients from their service, and patients required fewer sessions to gain the same outcomes.
Bridges has been developed following a staged approach to research according to the Medical Research Council framework for complex interventions. In an NIHR funded feasibility trial by Fiona Jones, one community neurological rehabilitation team in South London achieved comparable outcomes to other intervention teams (favourable changes in an individual’s function and self-efficacy) but with 50% less costs. This work and additional projects have identified factors which inform the Bridges whole systems approach to self-management.
Your Healthcare CIC on Bridges Self Management
“As a Community Interest Company, we continually strive to innovate for the benefit of all our service users. Co-production and working in partnership - to help us provide the best possible health and social care provision locally – is at the heart of all we do.
Working with fellow social enterprise ‘Bridges’ we have jointly developed, with service users, a self-management support package for those living in the community who either have, or care for someone who has, a long term condition.
The output of this has been an approach, which includes an easy to follow booklet using their stories, tips and strategies and it is already having a positive impact, helping others to take control and manage living with their condition. It’s early days but we’ve been more than delighted at the benefits seen so far from the Bridges Self- Management programme.
We’re delighted to have commissioned an organisation who clearly shares our philosophy in delivering excellent quality services and for really effective partnership working.”
Board Lead Foundation
Your Healthcare CIC
We tailor self-management support to the individual
For example, our work to co-produce a new patient workbook and training resources for people living with complex, multiple long-term conditions in Lewisham.
We consider the skills of professionals, and can change attitudes and beliefs
For example, we have carried out numerous research and service development projects to inform quality workforce training in self-management support. This involves going beyond face-to-face training to support teams to develop strategies to sustain change, including: peer observation; identifying and supporting key change agents (Bridges champions); and delivering refresher training sessions.
We address the organisational and team context to integrate successful self-management support
For example, we have carried out projects to address change management aspects of delivering self-management support. These projects utilise the frameworks of Plan Do Study Act (PDSA) and Normalization Process Theory (NPT) to facilitate teams to raise awareness, integrate, sustain and evaluate self-management support.