During the COVID-19 pandemic, NHS England has identified practical ways to support people to continue to manage their health and wellbeing while staying at home.

A range of guides have been launched to help health and care professionals to deliver supported self-management interventions that support the delivery of the Comprehensive Model for Personalised Care.

The guides have been designed to improve understanding of what good supported self-management looks like, how to commission these services locally and to support the delivery of health coaching interventions which will be of particular importance to those managing new and existing conditions at home during this pandemic.

Supported self-management

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 for people, their families and carers, as well as achieving more value from the system
  • understand how these services can be commissioned locally
  • identify best practice advice and how they can apply this.

Health coaching

Designed to support the delivery of health coaching, this guide and technical annexes should be used when commissioning and when deciding what can or should be counted and reported as health coaching in a local area.

It is ideal for those working in Sustainability and Transformation Partnerships or integrated care systems to support planning the adoption of health coaching services and skills in provider workforces, commissioners in Clinical Commissioning Groups or Local Authorities to directly commission health coaching services to meet the specific coaching needs of people, or to support workforce health coaching skills development through local CQUINs or other contractual levers, and providers to support their workforces to develop appropriate health coaching skills to support people.

This guide should be read alongside the above supported self-management summary guide. It will help readers:

  • develop an introductory understanding of health coaching
  • understand the different types of health coaching currently being used in their area
  • choose the right approach for your circumstances
  • ensure their approach aligns with the Comprehensive Model for Personalised Care, and
  • understand what should be considered health coaching when reporting on health coaching services

They welcome feedback on the contents of these guides and to understand how and where they have been used. Contact our team england.patientactivation@nhs.net.

Patient Activation Measure®

This quick guide provides practical and operational support to sites considering the use of Patient Activation Measure (PAM) licences. The guide focuses on why patient activation is important in managing people’s health and wellbeing, as well as elements to consider before implementing the PAM.



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