Thinking Differently

Introducing self-management

On average, people spend less than 4 hours a year with their health or care professional, the rest of the time they make independent daily decisions that relate to, and impact on, their health and wellbeing.  The self-management approach, which is based in the principles of person-centred care, aims to ensure every opportunity is taken to build people’s confidence, knowledge and capability to make the best decisions for themselves and to feel in control, which we know leads to better health and wellbeing outcomes. 

For staff:

Pennine Care NHS Foundation Trust wants to embed the principles of self-management into every service it offers.  There is lots of great work going on already, however, we also know that we have a tendency in healthcare to paternalistic practice, which can inadvertently take control and confidence away from people and build unhelpful dependency.  Embedding a self-management approach requires a change in the dynamic between service user and healthcare staff, which been likened to a shift from “parent” to “coach”. This approach requires a move to co-production, where people’s lived experience is valued equally to the clinician’s expertise in diagnosing and treatment planning. These resources are intended to supplement the “Thinking Differently” workshops and aim to provide you with some tools and techniques that can help to embed this way of working. 

For patients:

Being a more active partner in your health and care and being supported to focus on what matters to you can really help you get the best out of your health and care services.  Patients tell us they want to feel in control, which means having the right knowledge, skills and confidence to manage their health and wellbeing on a day-to-day basis.  Sometimes it is the simple things that can make the biggest difference.  The resources in this section of the website were primarily created for staff, however you may be interested to understand how we are trying to work differently in health and care services, and what these new ways of working might look and feel like to you.  You might wish to use some of the tools and techniques yourself when you are meeting with your health and care professional, to improve the quality of your appointment, and importantly your overall experience of health and care services.


Feedback and comments on these resources are welcomed by email to