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• Foreword >
• NSR Summary >
• Launch Podcasts >
• The Context for Yorkshire and the Humber >
• The Methodology of the Review >
• The Case for Change >
• The Staying Healthy
  Pathway >
• The Maternity
  and Newborn Pathway >
• The Long Term
  Conditions Pathway >
• The Children's
  Pathway >
• The Planned
  Care Pathway >
• The Acute
  Episode Pathway >
• The Mental
  Health Pathway >
• The End of
  Life Pathway >
• Implications for
  Delivery Models >
• Turning our
  Recommendations
  into Reality >
• Full NSR Report >

Appendix

• Technical Appendix >

Resources

• Resource List >

The Long Term Conditions Pathway

'Living with' not 'suffering from'

1
Our approach to managing long term conditions is fundamentally changing. Many improvements have already been made but these need to go faster and further if we are to meet the challenges of the future – particularly if we are to address the needs of our ageing population. This chapter (based on the work of the Long Term Conditions (LTCs) CPG – full report available at www.yorksandhumber.nhs.uk) sets out what we need to do to improve care for people with LTCs.

2
People want and need to be supported in managing LTCs. Whether they are struck by an acute episode and are seeking to gain control of their lives and reclaim independence, or whether a condition creeps into their lives – it needs to be recognised that people with LTCs are already engaged in that condition as they live with it every day. However, they may still need to be empowered in order to feel confident about the decisions they make about their care and the services they require.

The Case for Change

3
The LTC CPG looked at key issues around the current and growing problem of LTCs and in particular diabetes and stroke within the Y&H region.

Diabetes

4
Diabetes was chosen as a focus of the CPG as an area of concern in the Y&H region. The following data and information gives a snapshot of the issue in support of the case for change.

5
Nature of the condition:

• Diabetes is a chronic and progressive disease that has an impact upon almost every aspect of life. Diabetes is the leading cause of blindness in people of working age in the UK. Other complications may include ketoacidosis, kidney failure and lower limb amputations in later stages of the disease.
• It affects infants, children, young people and adults of all ages, and is becoming more common. There are two types of diabetes, Type I and Type II. Over 90% of people with diabetes have Type II, which is preventable. One of the main risk factors for developing Type II is obesity.

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