Decision details

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.