... but what?

All political parties should recognise that long-term conditions impact on every area of life; it is not simply a matter of keeping people out of hospital. The aim must be to enhance people’s ability to live independent lives.(3)

The Government is currently testing risk stratification, diseasemanagement and case-management approaches, imported from health organisations in the US. But it is important to avoid focusing resources disproportionately on the small minority of people with the most complex conditions.

We believe the answer lies with people with long-term conditions themselves.

Let’s see people as individuals first and foremost, let’s acknowledge that we are the real experts in how our conditions affect our lives, and let’s trust individuals to take control of their own lives, with the right care and support.

We are calling for a firm commitment to early, accurate and expert diagnosis and needs assessment which is regularly reviewed; access to high-quality information and support to help people make choices; and individual care plans for everyone diagnosed with a long-term condition.

We consider each issue in turn, proposing ambitious but achievable goals. These changes can be achieved with our current health and social care system and do not require changes to the organisation and funding of the NHS.

Many people campaign for improvements to our public services. Our approach is different – we campaign for improvements to people’s lives.

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3 ) See the Ten Principles of Independent Living as set out in the Cabinet Office Strategy Unit Analytical Report, Improving the Life-chances of Disabled People (June 2004): 160.

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