Healthcare professionals must support patients to make decisions about their own health according to a new report on the future of supported self-management that launched in Westminster today
Today marks the launch of a new report delivering clear recommendations on the role of supported self-management in a shift towards a more sustainable healthcare system. Led by a team of experts in clinical practice, patient representation, commissioning and health policy, the AbbVie Knowledge Network (AKN) has devised a plan of action to make this a top priority for the future of clinical practice.
Delivering a sustainable healthcare system in the face of one of the most challenging financial and organisational environments the NHS has ever experienced is the key priority currently being addressed by commissioners. Long-term conditions account for 70% of NHS spend1 and with prevalence increasing together with an ageing population, self-care and self-management are fundamental to addressing these spiralling costs.
Jaqui Lyttle, Commissioning Advisor of Barking & Dagenham Clinical Commissioning Group said, “We need to empower patients through effective professional communication, coaching and education, to take an active role in managing their long-term conditions. Offering supportive self-management programmes, which are integrated between primary and secondary care will alleviate time pressures on clinicians and create a positive experience for the patient which will lead to improved outcomes.”
The findings of the report outline clear recommendations that if implemented, could contribute to the £20bn of efficiency savings that the NHS is required to make by 2015 by addressing some of the costs related to the management of long-term conditions. The recommendations are as follows:
· Patient experience should be the central component of any service
· Clinicians should support patients to make decisions about their care
· Patients need access to high-quality information about their condition
· Funding should follow the patient
These recommendations have been developed in order to address inefficiencies in the management of healthcare resources, especially concerning long-term conditions such as Inflammatory Bowel Disease (IBD), where presentation of the condition often occurs at a young age and has the potential to cause lifelong ill health.
IBD is a long-term condition which currently affects 620,000 people in the UK alone at a cost of approximately £470 million per year.2,3 A new quality standard for IBD is due to be released by NICE this month which will set out the targets that gastroenterologists, nurses, GPs, pharmacists, surgeons, dieticians and patients, have agreed, should be achieved in order to improve the quality of care. The submission clearly signposts the importance of high-quality patient information and specialist support, to enable informed decision making and supported self-management, as a key area for quality improvement.4
Dr Andrew Robinson, Consultant Gastroenterologist of Salford Royal Hospital said, “Enlisting and supporting patients in the management of their condition is the focus of our programme in Salford, which is already proving to be vital for delivering an improved service and optimal care for patients with Crohn’s disease and Ulcerative Colitis. The potential gains in terms of health outcomes, patient experience and cost savings across all long-term conditions, can only be delivered by taking action to make improvements in practice, which means putting patients at the centre of managing their condition.”
The AbbVie Knowledge Network will address the recommendations set out in this report at a parliamentary event, which takes place later today. Gastroenterologists, clinicians, patients, health policy makers, MPs and civil servants will highlight the gap that remains between evidence and practice with regard to supported self-management, and the practical interventions that are required to develop patient-centred practices which are critical to the sustainability of the NHS.
10 September 2014, Maidenhead, UK
1 Department of Health. Report. Long-term conditions compendium of Information: 3rd edition. 2012
2 The IBD Standards Group. Standards for the Healthcare of People who have Inflammatory Bowel Disease (IBD). IBD Standards. 2013 Update
3 Molodecky N et al. Increasing incidence and prevalence of the Inflammatory Bowel Diseases with time, based on systematic review. Gastroenterology, 2012 Jan;142(1):46-54
4 The IBD Standards Group (NICE quality standard for IBD 2014). Available at: www.ibdstandards.org.uk/