Achieving Service Innovation Through a Health Education Programme

  • Alison E. Hipwell
Part of the Service Science: Research and Innovations in the Service Economy book series (SSRI)


International evidence confirms that patient educational self-management courses help people with long-term conditions to improve their daily health management, which benefits their quality of life and, in the UK, provides a small cost saving. People from South Asian backgrounds who live in the UK experience substantially worse health than other groups, yet few South Asian people attended the pilot phase of one self-management course: the Government-funded Expert Patients Programme (EPP). The six structured sessions last 2½ hours per week, and are delivered by trained tutors. Key topics include communication, nutrition, exercise, cognitive symptom management, contracting and problem-solving. For the current case study, Punjabi Sikh Indian women were offered experiential insights about living with arthritis and attending the EPP. Analysis revealed promising areas for service innovation and improvement around components of this course and its delivery, which may in turn result in improved resource efficiency and quality of life for this group.


Service Innovation Health Education Programme Interpretative Phenomenological Analysis Expert Patient Programme Improve Resource Efficiency 
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Funded by Arthritis Research UK (formerly Arthritis Research Campaign) Educational Research Fellowship grant ref: 17882

Links to Further Information

  1. Self-management websites:
  2. Hipwell AE (2008) Critical health psychology across the globe UK. Connected, 1(2):4.
  3. Hipwell AE, Turner AP, Barlow JH (2008a) Barriers and enablers to self-management education participation in the UK.International Congress on Chronic Disease Self-management 76–77. AFV Centre, MelbourneGoogle Scholar
  4. Hipwell AE, Turner AP, Barlow JH (2008b) ‘We’re not fully aware of their cultural needs’: Tutors’ experiences of delivering the Expert Patients Programme to South Asian attendees. Diversity in Health and Social Care 5(4), 281–290Google Scholar
  5. Hipwell AE, Turner AP, Barlow JH, Adebajo A (2009) Experiences of living with and self-managing arthritis: A qualitative exploration from Punjabi Sikh women’s perspectives. British Society for Rheumatology i159.

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Alison E. Hipwell
    • 1
  1. 1.Warwick Medical SchoolUniversity of Warwick, Division of Metabolic and Vascular HealthCoventryUK

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