Long term conditions and end of life care

Improving the quality of life, and experience at end of life, for people with long term conditions and their carers 

The Five Year Forward View (5YFV) published by NHS England and its partners sets out the vision for the future of the NHS. It notes that ’long term conditions are now a central task of the NHS; caring for these needs requires a partnership with patients over the longer term rather than providing single, unconnected “episodes” of care’.

This is particularly important in supporting the increasing numbers of people with more than one long term condition, more commonly known as multi-morbidity; older people who need more health and care, including those living with frailty; and those in the last 12 months of their life – helping people with long term conditions to live well, age well and die well.

The ambition by 2020 is to:

  • provide national leadership and expertise for commissioners and providers to help make the NHS the best in the world at:
  • supporting people with long term health conditions and their carers to live healthily and independently, with better control over the care they receive.
  • transforming the experience for those at the end of their life.
  • use the National Voices definition of person centred co-ordinated care that was developed by people with long term conditions in all our work to help make it a reality:

“I can plan my care with people who work together to understand me and my carer(s), allow me control, and bring together services to achieve the outcomes important to me”