The Department of health long term conditions strategy Supporting People
with Long Term Conditions (Department of Health 2005b)
provides a framework for improving the care of patients.
Part of this framework aims to provide a proactive case
management approach to patients who are over the age of
65, have two or more long-term conditions, are on muitiple
medications, have frequent hospital admissions, experience
problems with activities of daily living, live alone or are
recently bereaved.