Engaging With the Long Term Conditions Agenda

Mick Ward, Head of Commissioning,

Adult Social Care, Leeds.

ADASS Disability Group Rep. on National LTC Board

What is a Long Term Condition?

‘Long term Conditions are those conditions that cannot, at present, be cured, but can be controlled by medication and other therapies’ (David Colin-Thorne, National Clinical Director for Primary Care)

High quality services for people with long term conditions should support people to develop confidence and competence in managing the challenges of living with their condition(s) in order to have a better quality of life, better clinical outcomes and make more appropriate use of resources.

LTC Vs Impairment and Disability

Clinical Focus of Long Term Conditions Work

Diabetes Asthma COPD Chronic Heart Disease/Cardio Vascular Disease Stroke Generic LTC Model Others - Neurology? Sight Loss? Hearing Impairment?

Mental Health?

Major Areas of Work:

Condition Specific (Pathways) Predictive Modelling/Risk Stratification Information Prescriptions Self Care Telehealth Case Management and Care Planning Hospital Avoidance (e.g. Ambulatory Care) and The

‘Virtual Ward’ Integrated Neighbourhood Health and Social Care

Teams

Interfaces with Social Care/Third Sector

Self Directed Support Inc. Assessment and Care Planning

Support for ‘Self Care’ Information, Advice and Advocacy ‘Low Level’ Interventions Linked to Predictive Modelling Single Assessment and Joint Care Plans Telehealth and Telecare Workforce Development Integration Agenda

Opportunities and Challenges Quality Improvement Productivity and Prevention (QIPP) Reductions in Admissions/Lengths of Stay Integration with Who? and Integrating What? Predictive Modelling for ASC Pathways/Vs Needs/Services Loss of Focus on Other Joint Priorities (e.g.

Dementia/NSF for Neurological Conditions/Disability/Sensory Impairment)

GP Commissioning