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)

A practical guide to self-management support. Key components for successful implementation (2015)
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, - 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


  1. The Behaviour Chance wheel
  2. 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.

Monitoring and Evaluation:

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


  1. Medical Research Council Framework: Developing and evaluating complex interventions (updated version forthcoming 2019)
  2. Ten priorities for commissioners: Transforming our health care system summary (2015) Example specific to the UK

SPIN Presentation


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