Bernhoven is famous among hospitals around the globe for its hospital-wide, patient centred approach.

In 2014, Bernhoven began its five year strategy Better care by less care, in which unnecessary consultations, intakes, and operations are avoided as much as possible.

Gemma talks to those involved about changes including switching to a patient-centred approach, weekly focus groups and shared decision making.

She also speaks to patents about how self management has affected them.

BMJ 2019;367:l5900