Self-care and prevention

Introduction

People have a key role in protecting their own health, choosing appropriate treatments and managing long-term conditions. Self-management is a term used to include all the actions taken by people to recognise, treat and manage their own health. They may do this independently or in partnership with the healthcare system.  Going forward self-care and prevention is integral to new models of care and the implementation of the local sustainability and transformation plan (STP). The self-care and prevention programme –covering Bradford district and Craven - has delivered projects which support transformational culture change across the health and social care system.  Promoting awareness for people with long-term conditions of what help is around to support them to manage their own health and wellbeing as well as supporting people with what they can do to manage their own health and wellbeing in order to stay as fit and well as possible.

What we have achieved in 2016/17

Social prescribing

Social prescribing is an evidence-based approach to improve the wellbeing and quality of life for people. It has the potential to reduce pressure in primary and secondary care by supporting people to access support in their local communities. Together with Bradford City CCG, we have jointly commissioned a 12-month pilot with the public health team to provide a social prescribing service in 26 GP practices across Bradford. HALE delivers the new service – known as Community Connector - working in partnership with five other third sector organisations. Its staff will support patients by offering them up to six face-to face sessions to address some of the wider social and emotional needs often unmet in primary care. The connector staff will use an empowering approach to ensure that behaviour change is sustained. Each practice can refer up to 50 patients into the service with a total of 1,300 patients supported over the period of the grant year. The evaluation for this pilot will be available in January 2018.

Workforce 

We have delivered a successful programme of motivational interviewing training aimed at supporting frontline staff across the system to develop the skills, confidence and tools to support people to self-care.

Realising community assets

We have commissioned research from a group of third sector organisations to identify opportunities to build the capacity and capability of existing and emerging community assets (strengths) to promote health and wellbeing. The recommendations from the report have informed the district’s future prevention agenda, specifically in relation to working towards an accountable care system.

National self-care conference

We presented and showcased the work of the Bradford and Craven self-care and prevention programme to a national audience in London in September 2016 and received an award for best Self Care Week 2015.

Children and young people 

Our projects are bringing consistent messages around common illnesses (such as coughs and colds) to the families of children aged 0-4 years. The projects include co-designing a parenting course to empower parents to manage minor ailments in the home and developing resources to support other agencies, such as the fire service and housing providers, to deliver self-care messages in the community.

Engaging with communities

We have delivered a wide range of self-care sessions in the community including Self Care Week. We used our Make One Change toolkit to support events in pharmacies, GP practices, schools, community centres and shopping centres.  

Self-care and prevention plans over the next two years

Self-care ‘wellbeing hubs’ – we have submitted a business case to NHS England to transform a number of under-used health centres in Bradford into ‘wellbeing hubs’. These will offer a wider range of holistic activities and services and engage with third sector organisations and community groups. Subject to a successful funding bid, we will implement this work in 2017/18.

Our self-care and prevention plans for the next five years

  • further development of the self-care and prevention programme taking a system-wide approach,
  • develop a digital solution to enable people to use technology to self-care,
  • expand the community connector social prescribing service,
  • continue to embed community centred practices by developing the practice health champions health model,
  • implement communtiy asset report recommendations,
  • workforce training, health, social care and VCS staff.