The United Kingdom Expert Patients Programme: results and implications from a national evaluation

Med J Aust. 2008 Nov 17;189(S10):S21-4. doi: 10.5694/j.1326-5377.2008.tb02205.x.


The Expert Patients Programme (EPP) is a central element of chronic disease management policy in the United Kingdom. It aims to deliver self-care support by developing peoples' self-care skills, confidence and motivation to take more effective control over their long-term conditions. A large, national randomised controlled trial found that the EPP's lay-led skills training was effective in improving self-efficacy and energy levels among patients with long-term conditions, and was likely to be cost-effective. Key questions remain as to whether existing outcome measures capture the core outcomes that are important to patients with long-term conditions. The development and evaluation of self-care support initiatives should take into account the extent to which self-care support initiatives can be integrated into peoples' everyday lives, and the degree of fit with patients' existing adaptations and strategies. Rather than being concentrated on a single course, central resources for self-management support should be directed at a variety of systems and interventions that are able to meet the wide range of needs of patients with chronic conditions.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Chronic Disease / psychology
  • Chronic Disease / therapy*
  • Female
  • Health Education / organization & administration*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic / methods*
  • Patient Participation
  • Patient-Centered Care / organization & administration
  • Program Evaluation
  • Self Care / methods*
  • Self Efficacy*
  • United Kingdom