SELF CARE

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SELF CARE

• Lance Gardner MBE
• Projects Director
• North East Lincolnshire Primary Care Trust

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WHAT IS SELF CARE?

• The Department of Health define self care as

• Self care is the health and social care taken by
  individuals and groups such as families,
  communities of interest or neighbourhoods.
• Self care may be taken by individual action for
  the self or by voluntary action for others where
  possible and appropriate. Health and social
  services support to self care involves increasing
  the capacity, confidence and efficacy of the
  individual for self care and building social
  capital in the community

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OUR AIM

• People will be supported to take better control
  of their care and condition through a wide range
  of initiatives. These include a major new focus
  on self care and self management.
• White Paper Our Health, Our Care, Our Say A New
  Direction for Community Services 2006

NORTH EAST LINCOLNSHIRE PCT IS LOOKING TO CREATE
A PILOT SITE FOR SELF CARE
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WHAT EVIDENCE THERE IS ABOUT MANAGING ENDURING
MEDICAL AND SOCIAL PROBLEMS MORE EFFECTIVELY
Pyramid of Care
Level 3 High Complex Patients
Case Management
Level 2 High Risk Patients
Specialist Disease Management
Professional Care
Level 1 70-80 of a chronic disease pop
Supported Self Care
Self Care
Independent Self Care
POPULATION WIDE PREVENTION
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CREATING PARALLEL WELLNESS
It is proposed to create a parallel wellness
promotion pyramid with 3 tiers-
Tier 1 Individuals recognise early signs of LTC
and know how and where to seek the most
appropriate assessment process
Tier 2 Citizens can access information, knowledge
and support to prevent LTC, particularly amongst
those at risk due to behavioural or hereditary
risk factors
Tier 3 All of the population will have access to
information, knowledge and support to manage self
limiting conditions, and to be aware of how to
recognise when the situation is deteriorating and
what the next level of care to seek is.
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WHAT WILL OUR PROJECT LOOK LIKE?

• Local Authority services
• Health Promotion
• Public Health
• Local Media

• Voluntary sector organisations (local national)
• Primary Care providers
• Acute Care providers

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UTILISING FACILITIES

• Libraries
• GP Practices
• Childrens Centres
• Schools
• Sports Centres
• Council Buildings
• Hospitals

• In citizens own home via-
• Interactive TV
• Audio Services
• Personal Computers
• Written Materials

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SELF CARE PBC

• Individual Patient SLAs
• Self Care groups designing Year of Care
• Integrated recipient / clinical pathway

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• From passive recipient to active recipient

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THE SNOWDROP PROJECT
North East Lincolnshire has already demonstrated
a commitment to the key principles within the new
White Paper - the Snowdrop Project, the aim is to
facilitate mutual support from a cohort of people
who care for people with long term addiction of
drugs or alcohol.
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THE SNOWDROP PROJECT
In summary the project-

• Appointed a Carer Development Worker Mike Hardy
• Monthly drop in sessions are held at East Marsh
  Sure Start to provide information and advice
• Team of 4 volunteers who do 11 work with the
  carers
• More funding secured away day held on 30 March
  2006
• Access to counsellor if carers feel they would
  feel better with formal counselling
• Access to an alternative therapist who provides
  relaxation sessions etc

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There are numerous examples of evaluation into
the efficacy of self care but no one in the UK
has tried to systematise or standardise a
comprehensive approach to a large population
this is North East Lincolnshires opportunity to
do so.