Self-management is the usual care for people living with long-term conditions. Although they tend to spend relatively little time in contact with the health and care system, more than four in ten people living with a long-term condition do not have the knowledge, skills and confidence to manage their health and wellbeing daily. As a result, they often have a lower quality of life and make more use of primary care and emergency services than those who are more knowledgeable, skilled and confident. Tailoring tools can improve people’s ability to self-manage, so it follows that we should measure knowledge, skills and confidence by using them. Patient Activation Measure® (PAM®) is one example of a tailoring tool and provides tailored interventions to improve activation for those who would most benefit. The LCHS Community Cardiac Rehab team started to use PAM in 2020. They have reported that since moving to this way of working they have seen outcomes improve for the people they support and it has changed the way their service is run.
The Health Systems Support Framework is a tailoring tool ‘supermarket’ that launched on 23rd June 2021, where health organisations and systems can now procure tailoring tools. There will be over 200 accredited suppliers on the framework. In Lincolnshire we are looking to procure two or three tailoring tools for all services to use. This will hopefully happen summer 2021.
Tailoring tools can improve a person’s ability to self-manage. They should be used hand in hand with approaches which include: