Patient Activation Measure (PAM®)

The PAM is a validated licenced tool to measure patients’ skills, knowledge and confidence to manage their long-term conditions.

PAM licences are available from NHS England and Improvement as part of the Supported Self-management component of the Personalised Care Programme. The licence cost associated is funded by NHS England and Improvement as part of a national agreement which [general] covers NHS organisations in England, or organisations working in partnership with the NHS, that are requesting more than 200 licences.

If you are an STP or ICS, CCG, provider or voluntary sector organisation and you would like to apply for PAM licences, please email for an application form. If you are applying for PAM licences on behalf of a PCN, please email your request to providing your PCN name and a lead contact name and email address.

Universal Personalised Care specifically mentions the need to understand a person’s level of knowledge, skills and confidence, using tools such as the PAM or equivalent. PAM is the NHS England and Improvement standard default tool to measure skills, knowledge and confidence for the vast majority of people although, we do recognise that PAM may not be suitable for certain groups and conditions. We are currently working to understand what these groups and conditions are and what other tools are available for measuring patient activation levels.

The use of PAM to measure and monitor patient activation is central to meeting the aims of Universal Personalised Care and you can assume the licence costs will continue to be met centrally on an ongoing basis. Once you have received PAM licences, you may continue to use them each year and are not time limited.

We are also aware of the demand to make the PAM available in more digitally enabled formats and are currently exploring a range of digital solutions for PAM that are suitable for the NHS.

For more information about patient activation please see the Frequently Asked Questions or email