Workload and training implicationsIf effective, the promotion of self care and provision of high quality information for patients mayreduce later workload.Recording the provision of self-management education would be a routine part of a reviewconsultation. For written information, different language versions or picture-based informationmay also be needed.Delivery of these indicators should ideally be supported by training for health professionals whichequips them to empower people with long term conditions and their carers in self management(e.g. motivational interviewing, behaviour change training and the use of self-management tools).The requirement for practices to have available sources of information (written, internet) couldbe verified through inspection. Additionally, it would be possible to electronically record whetherpatients have received written patient information material.It is proposed that the PCT commission a design and print company to develop and produce astandard practice leaflet template. This could be used by practices to help achieve the indicatorrelating to producing a practice leaflet, at no extra cost to the practice.A significant number of practices may need access to training for at least one member of thepractice team to be able to update the NHS choices website. For details of the proposed training package see section 14.3.8 (p97).74
ReferencesCarpenter A and Mayers A (2006) Hammersmith and Fulham PCT Public Health Report 2006.Coulter A, Ellins J (2006) Patient-focused interventions: a review of the evidence. <strong>London</strong>, The HealthFoundation.Darzi A (2008) High Quality Care for All, the final report of the NHS Next Stage Review Final Report byLord Darzi The Stationary Office. <strong>London</strong>Department of Health (2007) Research Evidence for the Effectiveness of Self Care Support <strong>London</strong>:Department of HealthDepartment of Health (2008) Self Care: A National View in 2007 compared with 2004—2005 <strong>London</strong>:Department of HealthDepartment of Health (2005) Supporting people with long-term conditions. <strong>London</strong>: Department ofHealth.Department of Health (2004) The NHS improvement plan: putting people at the heart of publicservices. <strong>London</strong>: Department of Health.Department of Health (2007) The NHS in England: The Operating Framework for 2008-9. <strong>London</strong>:Department of HealthDepartment of Health (2001) The Expert Patient: a new approach to chronic disease management forthe 21 st century. <strong>London</strong>: Department of HealthDepartment of Health (2004) Chronic disease management: A compendium of information. <strong>London</strong>:Department of HealthDonaldson GC, Hurst JR, Seemungal TA, Wedzicha JA. (2004) Early therapy improves outcomes ofexacerbations of chronic obstructive pulmonary disease. American Journal of Respiratory and CriticalCare Medicine ;169:1298-303.Gibson PG, et al. (2002) Self-management education and regular practitioner review for adults withasthma. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001117. DOI:10.1002/14651858.CD001117.Gibson, PG. et al. (2004). Written action plans for asthma: an evidence-based review of the keycomponents. Thorax; 59: 94-9Griffiths C, et al. (2004). Specialist nurse intervention to reduce unscheduled asthma care in a deprivedmultiethnic area: the east <strong>London</strong> randomised control trial for high risk asthma. British MedicalJournal;328: 144-7Loveman, E., Frampton, G.K., and Clegg, A.J. (2008) The clinical effectiveness of diabetes educationmodels for type 2 diabetes: a systematic review. Health Technology Assessment 12(9), 1-136.McCormick A, Fleming D, Charlton J (1995). Morbidity statistics from general practice. 4th Nationalstudy 1991-1992. <strong>London</strong>, HMSOMonninkhof E, van der Valk P, van der Palen J, van Herwaarden C, Partridge MR, Zielhuis G. Selfmanagement education for patients with chronic obstructive pulmonary disease: a systematic review.Thorax 2003;58:394-8.Moudgil H, et al. Asthma education and quality of life in the community: a randomised controlledstudy to evaluate the impact on white European and Indian subcontinent ethnic groups from socioeconomicallydeprived areas in Birmingham, UK Thorax 2000; 55: 177-183NICE (2008) Type 2 diabetes: the management of type 2 diabetes (NICE guideline). National Institutefor Health and Clinical Excellence.Secretary of State for Health (2006). Our health, our care, our say: a new direction for communityservices. The Stationery Office. <strong>London</strong>Secretary of State for Health. The NHS plan. The Stationery Office. <strong>London</strong> 2000.Skills for care, skills for health (2008). Common core principles to support self-care: a guide to supportimplementation. <strong>London</strong>: Department of HealthSprangers MA, deREgt EB, Andries F, van Agt HM, BijlRV, de Boer JB, Foets M, Hoeymans N, Jacobs AE,Kempen GI, Miedema HS, Tijhuis M A, and de Haes HC (2000). Which chronic conditions are associatedwith better or poorer quality of life? Journal of Clinical Epidemiology. 53(9): 895 – 90775