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How to set up your own programme

Key things to consider:

Organisational level:
Financial and human resources to develop and implement a new initiative
Training and payment of staff when the initiative is in place
Infrastructure (such as rooms; access to the internet)
Reimbursement options for patients
Clinical pathways (referral and follow-up structures within your institution and with others)

Resources:
A practical guide to self-management support. Key components for successful implementation (2015) https://www.health.org.uk/publication/practical-guide-self-management-support
……
Living Well with a Chronic Condition: Framework for Self-management Support National Framework and Implementation Plan for Self-management Support for Chronic Conditions: COPD, Asthma, Diabetes and Cardiovascular disease (2017, https://www.lenus.ie/handle/10147/622639 - an example from Ireland)

Programme Level:
Before developing your own content and structure for a new initiative:
Look for systematic reviews & other key literature evaluating similar programmes – are there any initiatives that have been deemed effective and could these be adapted to your context
Consider working in a multi-disciplinary team including nurses, physicians, psychologist and/or health researchers and patients

Resources:
[add our systematic review & the page on our SR here]
The Behaviour Chance wheel https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096582/ http://www.behaviourchangewheel.com/
De Silva D (2011) Evidence: helping people help themselves A review of the evidence considering whether it is worthwhile to support self-management. London: The Health Foundation. https://www.health.org.uk/publication/evidence-helping-people-help-themselves

Monitoring and Evaluation:
Assess if your programme is effective – this is crucial not only for you and your patients but for commissioners.

Resources:
Medical Research Council Framework: Developing and evaluating complex interventions (updated version forthcoming 2019) www.mrc.ac.uk/complexinterventionsguidance
Ten priorities for commissioners: Transforming our health care system summary (2015) Example specific to the UK https://www.kingsfund.org.uk/publications/articles/transforming-our-health-care-system-ten-priorities-commissioners/summary

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