organisational journey challenges of spreading self- management support workshop 3 13 th may 2015

Organisational Journey

http://personcentredcare.health.org.uk

Challenges of Spreading self-management support

Workshop 313th May 2015

Challenges

Leadership & Supportive infrastructure

• Building /resourcing whole-systems approach to supporting self-management and getting full-take up across the local health & social care economy

• Developing a common language across the WHOLE local economy

• Outreach to whole workforce at the same time• Clear and consistent approach to supporting self-

management – keeping consistent standards • Cultural shift – time and focus needed – huge

numbers • Whilst all sites have some good strategic leaders and

clinical / managerial leadership – it is not consistent across all parts of the system


Challenges

Engaging Service Users• Patient Power remains under-utilised

Skills /development• Maintaining capacity to deliver programmes• When Teams are to be supported, significant effort and

investment can be required, for example, staff can lack confidence at the beginning of their journey; service specifications may need to change to support self-management; skills need to be practiced

Commissioning• Commissioning and securing future commitment to SMS


Looking at Networks as an example of how we’ve addressed challenges


Ayrshire & Arran Self Management Network


Key Challenges to Address

Embedding and spreading SMS –

whole system approach and across

sectors

• Rising awareness and interest in self-management

• Activities and initiatives happening in health, social care, voluntary and independent sectors

• No specific forum for self management

• Willingness and enthusiasm to create, share learn together

Providing ongoing support to clinicians

and people living with long term conditions

• Ongoing ‘expert’ support/coaching following training programmes

• Peer support important

Developing a common language across the WHOLE

local economy

• E.g supported self-management;

• Enablement;• Empowerment;• Recovery; • Person-centred

care;• Co-production;• Shared decision

making


Aims of Ayrshire & Arran SMS NetworkBased on the feedback from colleagues at the first self management event, broadly, the network aims to

Create a forum for sharing knowledge and information relating to self-management; and

Facilitate a common understanding of what self-management encompasses

Provide a mechanism for highlighting and increasing awareness of good practice

Provide virtual and physical opportunities for networking and skill development

Facilitate support for ‘self management champions’

Progress

360+ members• Health, social care, local authority,

voluntary sector, service users

3 Network learning events per year since 2013• Snapshot presentations and networking

time• Mixed programme – sharing learning from

different sectors• Wide range of topics covered

Reported Benefits of Network

‘being with like- minded people who see benefits of SMS personally and professionally’

‘you get a mix of experiences and

initiatives. It’s good to hear about and share

experiences’

‘hearing positive experiences of individuals

who use SM to gain control over their

condition’

‘lets you hear about new

SMS developments’

‘reflective learning, networking,

developing skills and new approaches to supporting people

with LTC’

‘networking with colleagues and

finding out about available

resources’

‘helps make sense of what is out there by working in partnership/collaboration

‘sharing best practice across Health, Local Authority, 3rd sector and service users’

Activity:

Challenges – How far do these reflect yours?


Activity:

Challenges “Map”

Which are the most important to you / your organisation now?


Activity: How have you progressed on the challenges so far?

• Challenges do not necessarily mean blocks to action

• Where are you in relation to yours and how have you made or used opportunities to overcome them

• What role has networking played or how could networking help address the challenges?


Key learning themes

• Align and integrate • Engage• Good leadership• Passion, belief and resilience• Work collaboratively• Understand what drives behaviour change

and link to SMS • Resources in the current climate• Networking


organisational journey challenges of spreading self- management support workshop 3 13 th may 2015

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