• Embedding self-management support through the three strands of the Co-creating Health programme.
  • Focused on working with people with musculoskeletal pain.
  • The programme ran from September 2007 until August 2010.
  • The team found that packaging the three elements of CCH and delivering them to whole teams or GP practices helped focus efforts to engage with clinicians.

This project aimed to introduce positive benefits from efficient self-management thereby improving people’s confidence and quality of life, and reducing the burden on the NHS. To achieve this they rolled out the three elements of the Co-creating Health programme:

  • Self-management Programme (SMP) for people with long-term conditions
  • Advanced Development Programme (ADP) for clinicians
  • Service Improvement Programme (SIP) to redesign services.


The team successfully tested the model in their area. Some of the findings from the three programmes were:

SMP: In order to maximise accessibility, SMPs were run at varying times and days of the week. The majority were run in community venues with a good geographical spread, however the team did find it challenging to engage with some groups. They felt that increased communication with teams commissioning for hard to reach groups would enhance engagement.

Anecdotal evidence reflected strong support for both the successful impact of the programme and for the use of a combined professional-lay tutor delivery model. With a high turnover of lay tutors, the team did, however, feel succession planning was necessary for this model.

SIP: Patient surveys and case-note sampling showed clearly that a culture shift had started to take place after seven clinical teams took part. The use of agenda-setting, goal-setting and follow-up was becoming the norm for clinical consultations in every team involved.

ADP: The team found it difficult to recruit for the ADP, particularly from primary care, however clinicians reported that after attending they had used the strategies to change their usual practice, benefitting themselves and the people they support. They also found the strategies were relevant to any long-term condition.

This project was twinned with the Co-Creating Health project at Calderdale and Huddersfield NHS Foundation Trust.

Further reading

Research report

Co-creating Health: Evaluation of first phase

April 2012
Research report

This report gives the findings from an independent evaluation of phase 1 of our Co-creating Health...

About this programme


Co-creating Health


This programme ran between 2007 and 2012 and involved eight projects that aimed to embed...

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