People 1st
People1st was a collaborative quality improvement project to upskill clinical neurorehabilitation teams, independently evaluated by the University of East Anglia. Over 650 staff took part across 6 ICBs (or STPs as they were named then).
The key findings included:
- Tangible changes in the way that service users with stroke and neurological conditions were supported to manage their conditions.
- Practitioners gained confidence in supported self-management and expressed satisfaction in working more collaboratively with service users, feeling that they were providing a more effective and efficient service.
- Supported self-management was hardwired into paperwork, processes and systems which helped to reinforce learning and consistency, promote sharing sustainability and evaluation.
- There was strong support and interest from leadership to trial and adapt aspects of supported self-management in practice.
Self -management became part of the pathway, rather than seen as the end point. Teams worked more efficiently to get to the heart of what matters most to patients, and experience improved relationships between multi-disciplinary team members.
“These health service staff, from a wide range of disciplines and roles, spoke often of how the Bridges approach to supported self-management enabled them to enact their professional values. To remember why they became health professionals in the first place. To find out what matters to an individual at a time of crisis in their life. To uphold an ethos of person-centred care that was sometimes lost in a target-driven, tick-box NHS.”Nicola Hancock, Professor of Physiotherapy and evaluation lead for People 1st