Self-Management for Life, Wednesday 19 November 2014 1pm – 1.45pm Renata Drinkwater CEO & Trustee Self-Management UK & Beverley Matthews LTC Programme Lead, NHS Improving Quality

1. WELCOME
Today’s Webinar
Self-Management for Life

2. Self-Management for Life
Wednesday 19 November 2014
1pm – 1.45pm
Renata Drinkwater
CEO & Trustee Self-Management UK
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality

3. Meet the Speakers
Bev Matthews
A nurse by background, Beverley has worked extensively throughout the NHS in a variety of
clinical, managerial and strategic roles. Beverley’s current role as Programme Delivery Lead
for Long Term Conditions Improvement Programmes: LTC Year of Care Commissioning
Model and LTC Framework. Prior to joining NHS Improving Quality in April 2013, Beverley
was Director of NHS Kidney Care and NHS Liver Care.
Passionate about service transformation through developing networks and leading complex
programmes. Providing strategic leadership to partners within health communities,
managing stakeholders and working across agencies.
Renata Drinkwater
Chief Executive of self management uk (formerly the Expert Patients Programme
Community Interest Company), a position that she has held since December 2010. Prior to
this, Renata was a Non Executive Director of the organisation from July 2008.
In common with over 70% of self management uk staff and volunteers, she lives with
several long-term health conditions herself, and therefore has both a personal and
professional interest in health sector issues, with a strong focus on the improvement of
outcomes for those living with long-term health conditions, for which she is a passionate
advocate.

4. Learning Outcomes
Self-Management for Life
of Care foundation.
 Understanding the difference between self-care and self-management
 Understanding how self-management benefits to patients
 Understanding how self-management benefits to clinicians and
healthcare professionals

5. Beverley Matthews
LTC Programme Lead
NHS Improving Quality
Beverley.matthews@nhsiq.nhs.uk

6. Bespoke Support

8. Tools and Resources

9. Links
Long Term Conditions Dashboard
http://ccgtools.england.nhs.uk/ltcdashboard/flash/atlas.html
Long Term Conditions House of Care Toolkit
www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/house-of-care.aspx
SIMUL8: Simulation Model
http://www.simul8.com/viewer/download.htm
#LTCyearofcare #LTCimprovement @NHSIQ

10. Case Studies
http://bit.ly/1u5iYRa http://bit.ly/1BKddT1

11. LTC Learning Forum
“Lunch & Learn” Webinar Series
&
Bite Size Master-classes

12. Virtual Learning Network
“Lunch & Learn”
• 45 minute “real time” Webinar
sessions
• Topics agreed and learning outcomes
identified
• Faculty of Speakers identified
Open invitation
Bite Size Learning Master-Classes
• Pre-recorded 20 minute Master-classes
• Master-class either as stand alone
sessions or pre-requisites for
Wednesday “Lunch & Learn”
Webinars
• Faculty of Speakers identified
Open invitation

13. LTC Lunch & Learn Series
….coming soon…
Date Webinar Hosted by Bev Matthews &
3 December 2014
"Population level commissioning
Dr Abraham George
1 – 2pm
for the future"
Kent County Council
To register email LTC@nhsiq.nhs.uk
7 January 2015
1 – 2pm
Self Management Support
Return on Investment
Renata Drinkwater
Chief Executive & Trustee Self
Management UK
21 January 2015 Commissioning for Outcomes Bob Ricketts CBE
Director of Commissioning Support
Services & Market Development,
NHS England

14. Self-Management for Life
Webinar 19th November
Renata Drinkwater
Chief Executive
self management uk

15. self management uk
Learning objectives for today
• Understanding the difference between self-care and self-management
• Understanding self-management benefits to patients
• Understanding self-management benefits to clinicians,
healthcare professionals and the wider system

16. self management uk
• Formerly the Expert Patients Programme Community
Interest Company, now a registered Charity
• Over 12 years’ experience working within/for the NHS
• At the forefront of self-management education and
training
• Facilitated delivery of programmes to 100,000+ patients
with long-term conditions
• Also programmes for clinicians/healthcare professionals
• Delivered face to face or online

17. The difference between self-care
and self-management
The Self Care Continuum
Pure self care
Responsible
individual
Pure medical care
Professional
responsibility
Daily
choices
Lifestyle
Self-managed
ailments
Long-term
conditions
Compulsory
psychiatric
care
Minor
ailments
Acute
conditions
Major
trauma
Healthy living Minor ailments Long-term conditions In-hospital care
Department of Health (2005). Self Care – A Real Choice: Self Care Support – A Practical Option. London: Department of Health

18. Benefits of self-management to
patients (1)
• Increased self-confidence and reassurance
• Increased control over own health and wellbeing
• Better involvement in shared-decision making about own
health and wellbeing
• Reduced time off work
• Better symptom management, such as reduction in pain,
anxiety, depression and tiredness
• Improved physical symptoms and clinical outcomes in people
with arthritis, asthma, diabetes, hypertension, heart disease,
heart failure, stroke, cancer and other conditions

19. Benefits of self-management to patients (2)
Patients want to help themselves!

20. Benefits to clinicians, healthcare professionals and the
wider system (1)

21. Benefits to clinicians, healthcare
professionals and the wider system (2)
• New self management uk tool developed for
Commissioners to demonstrate benefits
• Based on model originally co-developed with the
Department of Health, now significantly enhanced
• Shows financial benefits of delivering our programmes
patients (e.g. Self Management for Life/Expert Patients
Programme)
• Uses Department of Health/Office for National Statistics
figures and evidence from other key studies
• Calculates impact for any Clinical Commissioning Group

22. Benefits to clinicians, healthcare professionals and the
wider system (3)

23. Case Study CCG - Typical system usage
and medication spend
Statistics for CCG Value
People with a Long-Term Condition 61,539
People Newly Diagnosed (Per year) 4,308
Total GP Visits 300,347
Total Nurse Visits 165,191
Total A&E visits 67,941
Total Emergency Admissions 17,015
Total Hospital Admissions 40,004
Total Outpatients Visits 203,576
Total Medication Spend £27,968,172

24. Typical Savings
• Population with long-term conditions: 61,539
• If training delivered to just 240 patients per annum
(15 x 7 week programmes)
• Potential gross saving due to reduced healthcare
utilisation: £210,000 per annum

25. Typical Return on Investment
Cost Benefit Default Costs
Total Cost of Programme £93,750
Total Practice and Commissioner Savings £210,073
Total Saving over Contract Length £116,323
Saving per Year £116,323
Return on Investment: For every £1 spent: £2.24 is saved
Yes, £2.24 saving per £1.00 spent

26. Benefits to clinicians, healthcare
professionals and the wider system (3)
Finally, we calculate if self management uk programmes
were commissioned across England for just 10% of people
with Long Term Conditions (c1.57m), there would be:
• Gross potential system savings of some £1.38bn pa
• Net potential savings of some £763m pa

27. Renata Drinkwater
Chief Executive
self management uk
T: 03333 445 840
M: 07500 039 736
Renata.Drinkwater@selfmanagementuk.org
hello@selfmanagementuk.org