Supported self-management approaches

Health coaching

Health coaching helps people gain and use the knowledge, skills, tools and confidence to become active participants in their care so that they can reach their self-identified health and wellbeing goals.

Health coaching is not embedded everywhere in the NHS, and therefore it is important to create a plan to sustain further roll out of health coaching locally across whole or parts of organisations. A health coaching role can take many different forms. It can be:

  • built into existing healthcare professional roles, i.e. existing staff are trained to use these techniques and tools within routine NHS consultations
  • dedicated health coach role – usually delivered in a primary or community care setting.

NHS England and NHS Improvement has published a range of resources designed to support the delivery of health coaching.

Peer support

Peer support is a range of approaches through which people with similar long-term conditions or health experiences support each other to better understand the conditions and aid recovery or self-management.

Peer support may be formal or informal: it can be delivered by trained peer support staff and volunteers, or through more informal, ad-hoc support among peers with lived experience.

The Community capacity and peer support guide includes a common framework for developing formal and informal peer support options and how to put them into practice.

National Voices has launched a Peer Support Hub an online bank of high quality resources for people looking to measure, evaluate, sustain and grow different types of peer support.

More information about the successful implementation of peer support, can be found in the Realising the Value Programme, which was commissioned by NHS England.

Self-management education

People have a key role in protecting their own health, choosing appropriate treatments and managing long-term conditions. Self-management is a term used to include all the actions taken by people to recognise, treat and manage their own health. They may do this independently or in partnership with the healthcare system.

Self management education is any form of formal education or training for people with long-term conditions focused on helping them to develop the knowledge, skills and confidence they need to manage their own health care effectively.

QISMET is the national body for Quality Institute of Self-Management Education and Training interventions, an independent not-for-profit body that supports self-management providers and commissioners to achieve the highest possible quality service for people living with long-term health conditions. It does this by developing quality standards, defining good practice and certificating providers against these standards.