Long-term conditions

In Supporting People with Long Term Conditions , published in January 2005, the Government introduced a model designed to help improve the care of people with long term conditions. This followed the setting of a national Public Service Agreement (PSA) target for improving outcomes for people with long term conditions by offering a personalised care plan for vulnerable people most at risk, and reducing emergency bed days by five per cent by 2008 through improved care in primary and community settings.

For this to be carried out, the NHS will have to learn to work in new ways, and to develop cooperative plans for patient care that involve primary and secondary care, GPs, consultants, social services, nurses and pharmacists.

This section of the NHS Networks site was originally put together by the Long Term Conditions team in NatPaCT, which was part of the NHS Modernisation Agency. It aims to help all those in the NHS involved in introducing this new way of working with people with long term conditions - not just managers in Primary Care Trusts at all levels but also clinicians, pharmacists, practice managers and people in social service.

You can find basic information about the management of long term conditions in the overview and more detailed background in the useful documents section.

There is a section where NHS Trusts share their experiences and successful new ways of working and another section which looks at care in the US models.

We have information about Department of Health policy, and specialist information around nurses and practice based commissioning.

There are also separate sections for the Workforce Change in Long Term Conditions Programme, which is looking at new ways of working across the NHS, and the National Primary Care Development team (NPDT) which works particularly with GPs.

Finally, the website brings regular news of developments in the management of long term conditions, and news of events. You can also contact the team with your questions and contributions.

 

Top Download

Supporting People with Long Term Conditions -
An NHS and Social Care Model to support local innovation and integration
 (DH publication)

Click here to download PDF

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