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.

If you would like to discover more about Bridges programmes, or to arrange to speak with our Founder and CEO, Professor Fiona Jones, please email

Print Friendly, PDF & Email
  • Bridges is a social enterprise that exists to make a difference to the lives of people who live with acute and long-term conditions, by working with teams from health, social care and the third sector, to define and deliver best practice in self-management support.

    You can reach us on 020 8767 7343 or email