Table 1 The aims of training

Understand the WISE approach and implications for practice

Presentation and discussion plus introduction of manual

Involving whole practice

Learn about people's roles in the practice and their impact on the way patients with long-term conditions participate in health care

Interactive exercise using simplified process mapping*

Small groups

For clinicians--learn:

   skills to encourage a structured approach to self-care support in consultations

Interactive role play

Small groups

   techniques to help deal with difficult issues during consultations

Interactive role play

Small groups

   how to use tools including:-

PRISMS tool to encourage introduction of psychosocial agendas and shared decision making about patient priorities for management

Brief presentation with discussion. DVD exemplar of use plus manual

Involving whole group

Explanatory models to encourage discussion about the causes and consequences of long term conditions

Presentation with discussion. DVD exemplar of use plus manual

Involving whole group

A menu of options for self-care support linked to patient priorities and illness trajectory

Presentation with discussion. DVD exemplar of use plus manual

Involving whole group

Development of a negotiated plan of action or ongoing follow up care which builds on these earlier discussions

Presentation with discussion. DVD exemplar of use plus manual

Involving whole group

As a practice--develop:

skills to solve problems that come up in the work of the practice

Problem-solving techniques

Involving whole practice

systems within practice to improve self-care support for patients

Problem-solving techniques

Involving whole practice

ways to engage patients with self-care support

Problem-solving techniques

Involving whole practice

a sustainable data base of local self-care support options for patients

Ongoing activity and support

With WISE leads in the practice