Resources for long term conditions

Resources to support delivery of the long term conditions programme:

Guidance cover: case finding and risk stratificationMaking it happen: practical handbooks for clinicians and commissioners

We offer three handbooks which provide practical support for good long term condition management. They set out the required service components and draw on the latest research, best practice and case studies to show how this can be done.  The handbooks are useful to clinicians designing services and commissioners.

  1. Risk stratification and case finding – how to segment a population and provide person-centred care to those most in need recognising resource constraints
  2. Personalised care and support planning – the key vehicle by which health and care professionals work together with patients and carers to meet their needs
  3. Multi-disciplinary team working – how health and care professionals work together to support people with complex care needs that have been identified through risk stratification and case finding