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SelfCareAcademic
ResearchUnit(SCARU)
DrAustenEl-OstaActingDirector,SelfCareAcademicResearchUnitImperialCollegeLondona.el-osta@imperial.ac.uk
1948
• ThemostpopularinstitutioninBritain
• Passivepatient
• Paternalisticapproach
• Downstreamapproachtodiseasemanagement
2017
Activeindividual
Passiveindividual
Thepast Thefuture
+GPForwardView
+Policydrivers
£ £
• Increasedrecogniton asameanstoempowerindividualstotakecontroloftheirownhealth&wellbeing
• PotentialtoreducepressureonNHSresources
• Ofnational,European&internationalimportance
• Noonehasmadethe‘absolutecase’forselfcare
• Wedon’thaveavalidatedframeworktoobjectivelyevaluateselfcareinterventions&pilots
• Thereisn'tanacademicbaseforselfcareinEngland
SchoolofPublicHealthHorizonScanningExercise
VISIONTobetheleadingacademicbaseforselfcareinEngland,focusedonthecontributionsthatindividuals,networksandcommunitiescanmakeinhelpingpeopletopreventdisease,improvetheir
wellbeingandself-managetheircondition.
MISSIONTomaketheabsolutecaseforselfcare,byidentifyingand
studyingthewaysinwhichindividuals,communities,andexistinghealthinfrastructurecanimprovepeople’sself-carebehavioursandoverallwellbeing,addressinginparticularextantopportunitiesand
barrierstoself-careinthecontemporarysetting.
DavidWingfield(GP)
RenataChavda(Dementiacarespecialist)
MauriceHoffman(Laymember)
ShaminiGnani(GP&PublicHealth
Specialist)
DavidMummery(GP&CCGRes.Lead)
MalikGull(SocialNetworks)
RickyBanarsee(R&DDirector,PHE/CCG)
BezHale(DelgarnoTrust)
PaulThomas(AcademicGP)
DavidWebber(President,ISF)
PeteSmith(GP,SCF)
AustenEl-Osta(R&D)
ProjectLeads
SCARUExecutiveGroup(SCF– ISF– Imperial- H&FGPFed.)
Strategy&directionoftravel….
Director
Steering&
ReferenceGroup
Patient&publicinvolvement
Organogram
WeLReNCIC
inpartnershipwith
Aformidablealliance
1. Evidencesynthesistoinvestigatevariousaspectsofselfcare&howthislinkstoempowerment,healthliteracy&resilienceinthecommunity
2. EvaluateSelfCareinterventions,pilots,initiatives&existingservices,includingauditsoflocal/nationalimportance
3. Workwithindustrysponsorsanddevicemanufacturerstosupporttechnologyenabledself-careapproaches
4. Maketheabsolutecaseforselfcare,byunderstandinghowitcanbenefitthewiderhealtheconomyfromtheperspectiveoffundingofoutcomesasopposedtoactivities
5. Establish&maintainadatabase/repositoryofevidenceonself-care
6. Develop&championSelf-careinmentalhealththeme
7. Influencenationalpolicyonselfcareforpatientbenefit
Programmeofactivity
4 PointPlan(2017-18)
3keypapers
SCARULaunchevent
Buildcapacity
Apr2017 Apr2018Sep2017
Fundedprogrammeofactivity
1 2 3 4
1. SelfCareMatrix2. SelfCareInterventionDesignToolkit3. SelfCareEvaluationFramework
Engagement
1.TheSelfCareMatrix• Harmonizesextantdefinitions&modelsofselfcare,andincorporatestheSelfCareContinuum&the7Pillarsofselfcare
• Conceptualizesvariousaspectsofselfcare;anewpointofdeparture
2.TheSelfCareInterventionDesignToolkit• Considersvarioustangible&intangibleaspectsofselfcareatplanningstage
3.TheSelfCareInterventionEvaluationFramework• Pragmaticframeworktosupportobjectiveevaluationofselfcareinterventions
SCARUcontribution
85%
60%
60%
Nextsteps• PublishSelfCareMatrixpaper
• NationalSelfCareWeek(November)
• Embedselfcareethosinlocality
• Furtherengagementwithmixofstakeholders&industrypartners
• Launchappliedresearchprogramme,includingrepositoryofevidenceintoselfcare
• Buildcapacity&capabilityacrossSCARU
Thankyou
DrAustenEl-OstaActingDirector,SelfCareAcademicResearchUnitImperialCollegeLondona.el-osta@imperial.ac.uk
07772882958