Together for Health ​

Prevention, self care, self management and shared decision making in Croydon 

NHS Croydon Clinical Commissioning Group (CCG) is taking a strategic, ambitious approach to ensuring prevention, self care, self management and shared decision making are at the heart of all local health services.

Prevention, self care, self management and shared decision making (PSSS) are four fundamental elements of effective health care.

The CCG's three-year Together for Health programme brings together these four elements and aims to ensure they are embedded in all areas of the CCG's work.

Together for Health is based on the principles that:

  • Prevention is better than cure
  • When someone does become ill they are better able to make decisions and lifestyle changes that control the negative effects of their condition and improve their wellbeing
  • When a person does need treatment they are seen in the right place at the right time
  • There is shared decision making between patients and health professionals.

The programme aims to ensure that:

Prevention: residents and patients are supported and provided with the necessary knowledge and resources they need to take responsibility for their own health, stay healthy and reduce the risk of disease in the future 

Self management: patients with a long term condition have the support, knowledge and tools they need to manage their condition and make lifestyle changes that will improve their wellbeing

Self care: People who need treatment in Croydon know the appropriate place to go, whether that is their pharmacy, GP practice, A&E department, urgent care centre or caring for themselves at home, so they can get the right treatment, in the right place at the right time.

Shared decision making: patients who need to make choices about their healthcare have the support and information they need so they can make decisions with their GP that are best for them

Initially, Together for Health will be implemented through:

1. Education and training programmes for clinicians and the wider health workforce

Education and Training programmes will be developed for the healthcare workforce across primary care, secondary care, social care and the voluntary sector in Croydon.  

The goal will be to promote a cultural change and up skill the workforce to promote the understanding of prevention, self care, self management and shared decision making. Primary and secondary care programmes will include clinicians being trained to work with patients to empower them to share responsibility to make choices and changes to improve their health.

2. Communication with residents and patients

This will involve communication with residents and patients to raise awareness of the importance of prevention, self care and self management, and create a demand among patients for shared decision making.

This will be carried out through a planned programme of campaigns, initiatives and events, working closely with patient representatives and the London Borough of Croydon as the public health lead.

This work will include improving access to information and support for patients and residents, including local services, support groups, apps and other tools and resources, that can support people to stay healthy, self care for minor ailments, manage any long term conditions and make decisions about their care.

3. A focus on embedding and promoting prevention, self care, self management and shared decision making in the areas of:

  • chronic obstructive pulmonary disease (COPD)
  • diabetes
  • musculoskeletal services
  • urgent care.

The CCG is working with patient representatives and health and social care partners across the borough to deliver the Together for Health programme. Partners include the London Borough of Croydon, South London and Maudsley NHS Foundation Trust, Croydon Health Services NHS Trust, the Croydon Local Pharmaceutical Committee and Croydon Voluntary Action.

If you are a patient, resident or work at a voluntary, community or charity organisation in Croydon and would like to get involved in the Together for Health programme please contact

If you are a health care professional who would like to get involved in this programme please contact​​​