Health Committee - Second Report
Managing the care of people with long-term conditions

Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 18 June 2014.


Terms of Reference


1 Introduction

Our inquiry

The challenge for health and care services from long-term conditions

Integrating health and care services

2 Strategic direction of services for long-term conditions

The approach of the Department of Health and NHS England

Integration of health and care services

Long-term conditions and The Mandate

Progress against The Mandate's objectives

The National Strategy for Long Term Conditions

NHS England's plan to 2018/19

Planning for the future of services for long-term conditions

3 Clinical care for people with long-term conditions

Treating the person, not the condition

Multimorbidities and long-term conditions

Present arrangements for management of long-term conditions

Long-term conditions and NHS payment and incentive structures

Long-term conditions in community care

Managing the care of people with diabetes

The mix of service responsibilities for diabetes care

Delivering integrated care centred on the person

Person-centred care: the Year of Care approach

Care planning: general principles and specific conditions

Personalisation and patient involvement

Patient choice and personalisation in the provision of treatment

Information management and patient data

Education, training and workforce planning

4 Managing the system to deliver better care for long-term conditions

Why change the present mix of services?

Changing the service mix: managing ambulatory care-sensitive conditions

Long-term conditions in primary and community care

The evidence for benefits

Commissioning services for the care of people with long-term conditions

Practical support for commissioners  

Changes in primary care commissioning: the Proactive Care Programme

A payment system which supports effective commissioning for outcomes

Issues with the present system

Developing a Year of Care tariff

Long-term reform of NHS payment systems

The 2014/15 tariff and parity of esteem for mental health services

The effects of system change

Conclusions and recommendations

Formal Minutes


List of printed written evidence

List of additional written evidence

List of unprinted evidence

List of Reports from the Committee during the current Parliament

Oral and written evidence

Tuesday 18 June 2013: Dr Karen Lowton, Senior Lecturer in Ageing and Health, Institute of Gerontology, King’s College London, Professor Alan Maynard OBE, Professor of Health Economics, Department of Health Sciences, University of York, Dr Sue Roberts CBE, Chair, Year of Care Partnerships, and Dr Judith Smith, Head of Policy, Nuffield Trust

Wednesday 16 October 2013: Professor Alan Silman, Medical Director and Director of Policy and Health Promotion, Arthritis Research UK, Baroness Young of Old Scone, Chief Executive, Diabetes UK, and Dr Peter Aitken, Chair of the Faculty of Liaison Psychiatry, Royal College of Psychiatrists; Don Redding, Director of Policy, National Voices, and Liz McAnulty, Trustee, The Patients Association

Tuesday 29 October 2013: Dr Peter Fisher, Clinical Director and Director of Research, Royal London Hospital for Integrated Medicine, and Professor George Lewith, Professor of Health Research, University of Southampton; Professor Nigel Mathers, Vice Chair of Council, Royal College of General Practitioners, Alastair Buxton, Head of NHS Services, Pharmaceutical Services Negotiating Committee, Emily Holzhausen, Director of Policy and Public Affairs, Carers UK, and Victoria Matthews, Assistant Long Term Conditions Adviser, Royal College of Nursing

Tuesday 12 November 2013: Norman Lamb MP, Minister of State for Care and Support, Department of Health, and Martin McShane, Director, Improving the quality of life for people with long-term conditions, NHS England

Written evidence

Additional written evidence

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© Parliamentary copyright 2014
Prepared 3 July 2014