Patient activation licences

Patient activation: at the heart of self-care support

People must be at the centre of a more sustainable health system with services shaped around their needs and preferences. Patient Activation is a core enabler for NHS England’s Self-care Support Programme, and will significantly influence the way in which people are supported to manage their long-term conditions. In particular, measuring patient activation using the PAM tool will enable health care professionals to tailor services to individual needs to improve their health outcomes, ensure a better experience of care and reduce unplanned care admissions.

In his blog post, Dr Alf Collins, national clinical advisor, talks about NHS England’s emerging Self-care Support Programme and how by measuring people’s skills, knowledge and confidence, they can be supported to better manage their long-term conditions.

In April 2016, NHS England invited applications for free Patient Activation licences from key NHS change programmes (including new care model vanguards, integrated personal commissioning demonstrator sites, test beds and integration pioneers), CCGs, local authorities and third sector organisations providing primary care services.

Applications were assessed on how they will use the PAM tool to support people to develop their knowledge, skills and confidence to manage their long-term conditions more effectively. You can read more about NHS England’s vision in our patient activation narrative.

The list of organisations successful in securing free access to PAM licences is given below. All of these sites, in partnership with other organisations, will use the PAM tool to measure levels of patient activation in their local areas, tailor interventions and support people to manage their own health. For more detail about these organisations and how they will use the PAM licences, please click on their name below.

NHS England will also work with some other sites to further develop their patient activation proposals.

Sites that are part of the Integrated Personal Commissioning Programme:

  • Barnsley CCG
  • Cheshire West and Chester Council
  • Hampshire County Council
  • North, East and West Devon CCG
  • Portsmouth City Council
  • South West Lincolnshire CCG

New Care Models Vanguard sites:

  • Derbyshire Healthcare NHS Foundation Trust (part of the Wellbeing Erewash Vanguard)
  • Northamptonshire Healthcare NHS Foundation Trust (closely affiliated to Lakeside Healthcare Vanguard)
  • West Cheshire CCG (part of the West Cheshire Way Vanguard)

Test bed site:

  • Heywood, Middleton and Rochdale CCG

For more information about the recently completed application process, please see the Frequently Asked Questions.

Some of these sites have been using the PAM in their local areas. Two case studies from Blackpool Teaching Hospitals Foundation Trust and West London CCG are now available.

Other organisations using PAM licences received from NHS England in early 2016 include Leeds City Council, Liverpool CCG, Waltham Forest CCG, and Torbay and South Devon NHS Foundation Trust.

If you have any queries about Patient Activation, please email