This is part of a twin blog with QISMET. Read the other part of this blog here.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhG0CqwpSqePvZ-ffrna4dJcdLEXpGp5Y2-0YNGuXMoiEjmPOBd4WLqJdnWTLhXwH4JpJoeNSsOGk-tiJZ5Ptaw2f3RD_r_ByJe5ZTPRByp7jTveJrMyaWjm_iTVFlGSvaSzzTX-WBB204/s1600/Grandma.png)
Whenever I try to think about different people accessing the NHS as patients, I often think of her – how would Grandma cope or what would she make of this fangled new NHS initiative? I tend to come to the conclusion that we want very different things from our NHS and behave very differently as patients – call it the generation gap.
But spending time with her over Christmas after a few conversations in 2014 about self-management in older generations made me realize that we were quite similar after all as patients – we are both active self-managers!