Long Term Conditions

Diagram

What did we say in Healthy Ambitions?*

1
The Long Term Conditions Pathway concentrated their work on three areas:

  • Stroke
  • Diabetes
  • Care of older people with multiple conditions

These areas were chosen as they are areas of concern across the region – for example emergency admissions for diabetic comas were twice as high in some areas of the region compared with others.

They therefore recommended that:

  • Personal care plans should be agreed annually with patients to manage their long term conditions
  • The NHS should actively identify people in the community at risk from long term conditions and support them to reduce their risk of needing hospital admission
  • There should be more support for people to manage their own conditions
  • There should be better coordination of care between professionals and across services
  • There should be better use of new technology to help self-care
  • The NHS should have a greater focus on prevention of conditions such as diabetes.

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