We use the principles of co-production - working with staff at all levels to understand the service, training requirements and individual needs of patients.
Bridges have worked with more than 260 teams across health and social care; we empower teams to integrate effective self-management support into the care and rehabilitation of individuals, particularly those with complex and multiple needs.
We enable teams to
- deliver and sustain best practice in self-management support
- measure impact
- increase efficiency
- improve the experiences of individuals living with long term health conditions and their families
We do this by:
- Upskilling the workforce, encouraging confidence 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).
- Working with organisations to develop or review processes to monitor and evaluate the impact of self-management on patients and families.
- Enabling teams and services to demonstrate how they provide self-management support across local populations and share key messages concerning the efficiency and effectiveness of their team
- Working with practitioners to support individuals and families to be more in control of their everyday lives and health - offering the potential to reduce repeated, short term healthcare interventions.
- Enabling teams to use an integrated approach to self-management, which has been shown to improve self-efficacy, mood, quality of life and well being of individuals living with long-term conditions.
- Delivering an inclusive approach to self-management support. Tailored to the individual needs of patients.
- Access to a range of co-produced resources , designed with and for people with acute and long-term conditions
Our work is informed by a growing evidence base of published research showing that:
- an integrated approach to self-management support is feasible to use in both acute and community settings
- can be tailored to individuals with complex needs such as those with acute trauma or progressive conditions
- staff enjoy integrating the approach making healthcare interactions more efficient and effective
Our research and development has continually informed the quality of our workforce training. 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 masterclasses
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.
Our aim is to enable teams to make self-management support their primary focus. Creating a service which utilises the skills of people with acute and long term conditions, shares expertise and increases peoples’ confidence to self-manage.