Patient activation licences

Patient activation: at the heart of supported self care

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 Supported Self care programme, and significantly influences the way in which people are supported to manage their long-term conditions. In particular, measuring patient activation using the PAM tool enables health care professionals to tailor their approaches 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 Supported Self care 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 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.

Applications were assessed on how the PAM tool will be used 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 the PAM licences is given below. These sites, in partnership with other organisations, are using 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 are using the PAM licences, please click on their name below.

NHS England is also working with some other sites to further develop their patient activation proposals.

Sites that are part of the Integrated Personal Commissioning Programme:

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

New Care Models Vanguard sites:

  • Derbyshire Healthcare NHS Foundation Trust (part of the Wellbeing Erewash Vanguard)
  • West Cheshire CCG (part of the West Cheshire Way Vanguard)

For more information about the Patient Activation in NHS England’s Supported Self care programme, 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