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Examples of survey tools for use in supported self-management

Focus area Surveys/scales Tool description Self-management needs and behaviours Diabetes Self-Management Questionnaire Focuses on people with diabetes 16 items focused on blood sugar management, dietary control, physical activity and healthcare use Available in multiple languages. Developed in Europe Can be used as an individual assessment tool or measure to track progress before and after an […]

Tools to implement supported self-management

Supported self-management guide The supported self-management guide supports teams of healthcare professionals deliver on the Comprehensive Model for Personalised Care. This guide is designed for people and organisations leading local implementation of personalised care. It will help them: improve their understanding of what good supported self-management looks like and why it improves outcomes and experiences […]


Primary care improvement community The primary care improvement community has over 10,000 members and growing. It is a virtual community for all who work in and around general practice and primary care across England, and are involved in facilitating innovation, improvement and transformation. This spreads good ideas more quickly, helping to accelerate local change and […]


Annex A: Developing the report Both the Interim NHS People Plan (June 2019) and We Are The NHS: People Plan for 2020/21 – action for us all (July 2020) committed to a review of NHS human resources (HR) and organisational development (OD). The programme to develop a future vision for HR and OD was commissioned […]

Appendix A – Schedule of GP digital requirements and capabilities

Essential clinical system capabilities – foundation capabilities Essential clinical system capabilities – non-foundation capabilities Patient facing capabilities National digital services GP IT enabling requirements Enhanced requirements General practice business requirements Essential clinical system capabilities – foundation capabilities Six clinical digital capabilities enabled through software (and data) solutions which under the GP Contract are necessary to […]

Health and wellbeing coaches

Health and wellbeing coaches support people to increase their ability to self-manage, motivation levels and commitment to change their lifestyle. They are experts in behaviour change and focus on improving health related outcomes by working with people to set personalised goals and change their behaviours. They work with people with physical and/or mental health conditions […]

Chronic pain and low back pain pathway at Sheffield Improving Access to Psychological Therapies (IAPT) Service

Case study summary The chronic pain pathway is one of 10 offered by Sheffield Health and Social Care NHS Foundation Trust. It offers adapted Improving Access to Psychological Therapies (IAPT) interventions for persistent pain, including a new Living Well with Back Pain and Sciatica course. The estimated prevalence of chronic pain in the UK population […]

Islington iCope – making the most of a close working relationship with GPs

Case study summary Closer working between IAPT (Improving Access to Psychological Therapies) services and referring GP practices can help to develop a holistic approach to risk management, medication and treatment plans, while ensuring people referred make the most of their talking therapy.   iCope, an IAPT service in Islington, London, is dedicated to the provision […]

Staff wellbeing at Back on Track IAPT service

Case study summary Challenges such as stressful situations and day-to-day demands prompted the formation of a wellbeing team to examine employees’ perceptions of their workplace at Back on Track IAPT service, Hammersmith and Fulham. Based on feedback a range of changes were made to working arrangements to raise staff wellbeing.   Introduction Back on Track […]