Reference: D41784
Decision Maker: Director of Public Health
Decision status: For Determination
Is Key decision?: No
Is subject to call in?: No
1. It is recommended that the Director of
Public Health –
(i) Authorises to tender for a 185K 9 month pilot project for a
Long Term Conditions Supportive Structured Self-Management
Programme.
Support for self-management recognises that people with long term
conditions (LTCs) are in charge of their own lives and are the
primary decision makers in relation to the management of their
condition. This means the role of the clinician moves from doing
things ‘to’ the person, to supporting people’s
confidence and competence to manage the challenges of living with
their condition. The NESTA's People Powered Health Programme has
estimated that over 4 billion pounds could be saved annually if
comprehensive support for self-management was in place.
Therefore as a result of extensive consultation with people in
Leeds, there have been several conversations across the health
system in Leeds resulting in the proposal that a bespoke programme
could offer something more flexible which would increase
accessibility while, maintaining outcomes and satisfaction.
A business case was developed and approved by the three CCG’s
for a value of 185K of non recurrent funding to design, deliver and
evaluate a bespoke pilot structured education programme for people
with Long Term Conditions. The Self-Management Group is led by the
Consultant in Public Health, Long Term Conditions; Leeds City
Council and it was agreed by the Director of Public health that the
funding would be transferred into the Local Authority for a full
procurement to be undertaken. The pilot will be governed through
the Adult Integrated Care and Prevention Board ( Jointly Chaired by
the DPH and the AO of Leeds LSE CCG).
The vision is that people in Leeds will be involved in decisions
made about them through supportive self-management. They will be
encouraged, supported and enabled to self- manage when they feel
able to do so. This model fits with the philosophy of the House of
Care which aims to provide personalised care planning for people
with long term conditions by working in partnership with people and
care professionals.
Delivery of structured education focuses on the left side of the
house to enable the person with a long term condition (LTC) to be
empowered, engaged, motivated and supported to actively manage
their own health. In addition, the foundations of the house relate
to the commissioning which enables cost effective commissioning of
services which meet individual’s needs.
It is proposed this programme will provide a:
• Core/Foundation programme for LTC and run as a rolling
programme. People can then attend at any stage after diagnosis to
be given valuable information in relation to lifestyle, emotional
wellbeing, mental health, goal setting, social support, benefits,
support networks, signpost to additional educational
materials.
• Disease specific programme (Intermediate level). This is a
one off session that the people can access to understand more about
their LTC but are not ready to go to a more in-depth weekly
programme.
This pilot programme will be governed by the Self-Management
workstream which is part of the Adult Integrated Care and
Prevention Board (AICP). The AICP sits beneath and reports directly
to the Leeds Health and Social Care Transformation
‘Portfolio’ Board which is aligned to the outcomes of
the Health and Wellbeing Board.
Wards Affected: (All Wards);
Contact: Lucy Jackson 07712 214794 Email: lucy.jackson@leeds.gov.uk.
Publication date: 14/11/2014
Accompanying Documents: