Supported Self-management

Supported Self-Management Summary Guide NHSE/I July 2021

Supported self-management (SSM) is part of the NHS Long Term Plan's commitment to make personalised care business as usual across the health and care system. This summary guide is aimed at people and organisations leading local implementation of supported self-management and enables increased understanding of what good supported self-management looks like and how it ensures that high quality personalised care tailored to the needs of individuals with long term conditions is commissioned and delivered. 

You can access the guidance document here.

Model of supported Self-Management

How to  implement supported self-management in your service   :

Supported self-management proactively identifies the knowledge, skills and confidence (‘activation’) people have, to manage their own health and care, using tools such as the Patient Activation Measure® (PAM®). Health and care professionals can then tailor their support based on the individual’s needs and preferences, ensuring approaches such as health coaching, peer support and self-management education are systematically put in place to help build knowledge, skills and confidence. Enclosed is a framework which may help when you are considering a self-management approach in your service. 


Health Foundation Social (Wider) Determinants of Health - Animation

To understand what makes us healthy, we need to look at the bigger picture.

Watch this animation about the wider factors that shape our opportunities to live healthy lives – from the work we do to the places where we live.

Then link to the enclosed animation

What Makes us Healthy: The Health Foundation April 2018

The Health Foundation has written this guide as a brief introduction to the social determinants of health. It explains how a person's opportunity for health is influenced by factors outside the health and social care system. It also shows that many people don't have the same opportunity to be as healthy as others.

Health Unlocked  - October 2017 

Information and research from the Health Unlocked website – suggesting  that  people who  visit  health websites  have reduced visits to  their GP.

Web Based Resources to  Support Self-Management  of Long term Conditions

Judith Carrier (Senior Lecturer/Director Wales Centre for Evidence Based Care, Cardiff University), would like to draw your attention to the following list of web based resources for self-management of long-term conditions. Please click here to view the web based resources for self-management of long-term conditions.

Six principles for engaging people and communities: putting them into practice

This document is about creating person-centred, community-focused approaches to health, wellbeing and care. It builds on the proposed new relationship with patients and communities set out in the NHS Five Year Forward View. It aims to complement a wider suite of products to be produced by national bodies for the health and care system as it moves forward with the implementation of innovations in care delivery.

Easy Health 

This website was made so that  people know where to  find “accessible” health information.

There are over 500 Leaflets on Easy Health, which can be printed off and used straight away and may  help  in supporting self-management by  providing information  using pictures, symbols and words.

Realising the value 

Person and community-centred approaches to health and wellbeing 

Realising The Value: At the Heart of Health: Realising the Value of People and Communities: Report Published 16 February 2016

The report brings together evidence on what good person- and community-centred approaches for health and wellbeing look like and their potentially wide-reaching benefits. In particular, the programme focuses on five areas:

  • peer support
  • self-management education
  • health coaching
  • group activities to support health and wellbeing
  • asset-based approaches in a health and wellbeing context.

The report includes a wide range of evidence and practical examples to support the work of commissioners and other decision-makers seeking to find ways to empower individuals and communities in their health and care.

Here are five factors for supporting people to take a more active role in health and wellbeing March 2016. 


The Health Foundation in partnership with the innovation charity Nesta has published two reports in their realising value series which aims to strengthen the case for people taking an active role in their health and care. 

The benefits of person- and community-centred approaches

Watch the animation setting out what person- and community-centred approaches to health and care are and some of the many benefits they bring. Developed with local Realising the Value partner sites, it draws on the real-life experiences of the people they work with. 

Realising the Value video.

For further information on the Realising the Value programme please visit or email

Realising the Value final events and Report November 2016  

The Realising the Value final events saw the launch a set of practical resources to show how person- and community- centred approaches can help to shift power to people and communities.

  • All of the Realising the Value programme reports, tools and resources can be downloaded here
  • The event slides can be accessed here
  • Read the blog from Halima Khan, Executive Director, Nesta Health Lab and Will Warburton, Director of Improvement, The Health Foundation here.
  • Join the Twitter conversation at #RealisingTheValue

March 2017: Realising the Value 4 months on  

Last November, the Realising the Value programme published its final reports. Now is a good time to look back on the work that has been  done.

Mobilising Communities: Insights on Community Action for Health and Wellbeing 

This report gathers a wide range of insights taken from three community sites on how to implement a people powered approach to health and well being.

The Case for Health Coaching

Carter,Tamkin,Wilson,Miller 2015: Lessons learned from implementing a training and development programme for clinicians across the East of England.

In addition to presenting a positive picture of Health Coaching as an effective solution to  patient centred care and self-management, the report here describes how Health Coaching is an effective way of working ; benefits  include  higher patient compliance, reductions in episodes of care and the  potential to  cut  waiting times and reduce waste for unnecessary medications.

Better Conversation, Better Health

This website is full of resources, information, patient and practitioner stories  describing how health coaching approaches can support  behaviour change and improvements in health and wellbeing

The Health Foundation: Making the change March 2016

Behavioural factors in person and community centred approaches for health and wellbeing : Hannah Burd, Michael Hallsworth, The Behavioural Insights Team March 2016

This report highlights that a multi-faceted approach is needed to enable effective self-care. It identifies five enabling factors:

  • growth mindset, self-efficacy and ‘grit’
  • removing friction costs (i.e. removing increases in effort required to perform a behaviour)
  • social connections
  • intrinsic motivation
  • goal setting and feedback.

The report  provides a framework for understanding the drivers of behaviour and includes examples and case studies to illustrate how the theories work in practice. These new approaches may help realise the vision set out in the NHS Five Year Forward View.

Last updated on 23/07/2021 by thomashollis