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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

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  • Inspiring People to Live Well and Work Differently.

    As a team we share the same ethos and philosophy that drives our passion to create the best experience and environment for patients to live well. Bridges provide opportunities for both patients and professionals to work collaboratively to enhance self-management skills, knowledge and confidence.
    You can reach us by email