Developing a Primary Care Behaviour Change Service to Enable Healthy Behaviour Change and Support Self Management
PHE ePoster Library. Hall T. Sep 12, 2017; 186538; 242
Tom Hall
Tom Hall
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Abstract “Don't just do things better, do better things” The Primary Care Behaviour Change Service aims to change the change the way we deliver care for people with LTCs in South Tyneside. There is now compelling evidence for the positive impact of supported self management. Despite this most people attending their GPs are poorly supported with the psycho-social issues that impact on their health and wellbeing. Many lack the knowledge, skills and confidence to make the healthy changes needed. In South Tyneside we are using evidence based quality improvement methodologies to iteratively test and implement an integrated bio-psychosocial primary care pathway in order to improve health and wellbeing, support self-care and reduce system wide costs. Starting in one practice we have worked collaboratively to change the care pathway. We have incorporated a stepped approach to psycho-social support as part of a one-stop LTC clinic. We are using the Patient Activation Measure to stratify people to the right level of support which ranges from Social Prescribing to sessions with a Health Psychologist. Those with the most need are given the most support to set and achieve their goals. We have established a peer support group. Key measures for improvement will be changes in PAM scores, uptake of community assets, and health service utilisation measures.This presentation will provide detail on the theoretical and practical model, and our reflections and findings from the first six months of the quality improvement project. External funding details Innovating for Improvement Grant - Health Foundation £75,000NHS England Pioneer Grant - £50,000
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