DHACA Day III Output (Self-care)


  • Valerie Carr
  • Helen Cherry, NHS Trust London
  • David Doherty
  • Janet Jedavji,  Yecco
  • Jennie Williams, Liverpool CCG
  • Rod Hulme, Sphericon Insights
  • Madeleine Starr
  • Steve Peebles
  • Jamie Paton, Canary Care
  • Nicholas Robinson
  • David Wilcox
  • Francis White
  • Joe Mcloughlin
  • David Calder
  • Paul Thomas, Microsoft
  • Amie Witherspoon, London Borough of Hammersmith and Fulham
  • Michael Bernard, Lively Mountain Rescue
  • Shannon McAll, Cair – Halifax


What is Self Care?

  • It’s about education, approach and attitude
    • Push – Public Sector wants us to Self Care because it cant afford to provide care
    • Pull – Self Care is “better”
  • But, we need a bridge from where we are (State as Carer) to where we want to be (Self Care)
    • Supported self care is that bridge
    • At the same time “mother needs to let go”
  • Prevention and personalisation
    • Personal Health Budgets will be a major stimulus

Obstacles to Adoption of Self Care

  • Wheel Reinvention (the 2002 Wanless Report gave recommendations about self care but nothing of significance changed)
  • Demographic Appeal
    • Baby Boomers entering the care market (ie as “customers”)
    • Different expectations – prepared to be “early adopters”
  • Digital Divide
    • It is there, but only for a short period
    • It should not be a reason for NOT going digital
  • Paternalistic NHS
    • Will require a major culture change and service redesign

Other areas

    • Digital Inclusion, access
    • Awareness – how do we bridge the ageing technology gap
    • Education – linkage
    • Information sharing – bio info
    • Data standards
    • Evidence for Efficacy
    • Definition of self-care –
      • Is it about saving money?
      • Is it really self care or “Supported Self Care”?
      • Does the Public Sector need to specify this or should they leave it to the market?


  • Apps store for health
  • Hubs – “genius bar” for health apps
  • Prescription/learning
  • Leverage NHS as Trusted Brand
  • Digital Divide gives us the opportunity to stratify – those who can, self care (provide the tools to do so)

Afternoon Session – Avoiding Duplication in the context of Self Care

  • Should we try to avoid duplication?
  • Or let 1000 flowers grow?
  • Overall response – “It Depends”
  • 152 local portals is actually a “good thing” because we need localisation
    • Sensible duplication
    • build on a core of universal informaiton
  • Assessments – for supported self-care
    • Different services require different assessments
    • Timeframes are often different
    • Many options – LA, 3rd Sector so standardisation is important
  • Is there a basic level that is achievable?
    • People want choice
  • Support plan?
    • Triggers when you are in the system
    • Concept of how we choose holidays which is governed by ATOL framework
    • Should include range of services

What can DHACA do to support the move towards Self Care?

  • Curated market place
  • Trusted Brand (similar to concept of ATOL for travel agencies)
  • Market awareness of AT
  • Facilitating choice
    • Know the problem
    • Not necessarily the solution
  • Where do care orgs go to for AT tech and services?
    • Need a flexible framework
    • “Managed Flexibility”
  • Wheel reinvention ?
    • We should learn from other orgs such as NHS Choices
  • What about the consumer?
    • Should AT be like Soap? Ie millions to choose from, best brands win?
    • Should there be “coopetition”? Or State control?
    • We need a “Trip Advisor” for AT
    • Is it too early to create/encourage a market? We don’t yet know the value of new categories such as wearables
    • Should we be working with the likes of Google Search to ensure that the right comparisons are offered

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