This booklet sets out research findings of the benefits of supporting people to self-manage. It also sets out the evidence for the impact of self-management education for patients, proactive telephone and psychosocial support, home-based self-monitoring and simplified dosing strategies and information. Self-management includes all the actions taken by people to recognise, treat and manage their own healthcare independently of or in partnership with the healthcare system. People feel more confident and engaged when they are encouraged to self-manage by professionals, therefore supporting self-management is key to prioritising person-centred care. Drawing on the findings from 228 systematic reviews, the paper concludes that the top three things that might most usefully be invested in are disease specific, generic and on-line self-management courses, proactive telephone support and self monitoring of symptoms and vital signs.
CENTRE FOR SOCIAL JUSTICE
An evaluation of the Silver Line helpline and befriending service which was set up in response to loneliness and isolation of older people in the UK. The service has been piloted in the North West of the UK, and in the Isle of Man since the end of November 2012 and provides a helpline offering information, referrals to other organisations and someone to talk to 24 hours a day. The evaluation included a literature review, interviews by phone and in person, and fieldwork in the three call centres. The results found that the service was fulfilling its three key objectives of providing a referral service, delivering a befriending service to combat loneliness, and to help identify those who are vulnerable and may be suffering abuse or neglect. The evalution also highlights the skills and values that staff and volunteers considered to be essential when operating the service. Key recommendations for the future included extending the pilot across the country through partnership.