New coalition launched to make person-centred, coordinated care a reality for people living with long-term conditions

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According to the 2013 GP Patient Survey only 5 per cent of patients with a long-term health condition said they had a written care plan. Of those over a quarter (28 per cent) said that they did not help put it together. Professor John Young, NHS England’s National Clinical Director for the Frail Elderly and Integration said this reflects the findings of the 2013 National Audit of Intermediate Care which found that 25 to 30 per cent of service users reported little involvement in the development of their care and support plans.

The House of Care is a visual representation of the elements that need to be in place for health and care professionals to improve care and support planning. It is based on an approach that has been tried and tested in parts of England and has been shown to benefit people with long-term conditions and frontline staff. The Coalition’s aim is to enable and support local communities to build their local House of Care.

The House of Care also helps to link people with the community activities and social networks that build confidence and provide support in their daily lives. It recognises the social as well as medical aspects of managing a long-term condition called ‘more than medicine’. These social interventions build on and complement clinical care, connecting the clinical consultation with interventions such as peer support groups, debt counselling, walking groups, befriending, one-to-one coaching and community cooking classes.

Dr David Paynton, National Clinical Lead, RCGP Centre for Commissioning said: “People with long-term conditions spend so much time being bounced around the system and GPs, like other health and care professionals, tend to work in silos with different targets. In short we have created a system that doesn’t work. The point of the House of Care approach is that it will help us work in a more joined up way.”

Nigel Mathers, Honorary Secretary of the Royal College of General Practitioners and convening chair of the coalition, said: “We have high hopes for the Coalition for Collaborative Care and our aim is simple – we want to improve lives for the one-in-four people in England living with a long-term condition. 

“Care and support planning is the tool for doing this. It also has the potential to reduce admissions to hospital – yet we know it is not being widely used.

“That is why we have created a flexible, adaptable blueprint to help health and care professionals work together in a more joined up way.”

Further Information

For more information about the coalition, care and support planning and the House of Care visit:


For media enquiries and to arrange an interview with Nigel Mathers or Dr Sue Roberts please contact Julian Tyndale-Biscoe, [email protected] or RCGP Press Office on 020 3188 7574/7575.


RCGP Press office – 020 3188 7574/7575
Out of hours: 0203 188 7659
[email protected]

Notes to editor

The following organisations have been working together to form the Coalition for Collaborative Care:
Royal College of General Practitioners
Year of Care Partnerships
National Voices
NHS England
The Health Foundation
Diabetes UK
British Heart Foundation
College of Social Work
Many other people and organisations across health, social care and voluntary sectors have attended coalition design events over the last year and will be joining the coalition.


Care and support planning sees clinicians, social care professionals  and people with LTCs  working together to agree goals, identify support needs, develop and implement action plans and monitor progress. National Voices, one of the Coalition members, has just published a new guide to Care and Support Planning.


The Royal College of General Practitioners is a network of more than 49,000 family doctors working to improve care for patients. We work to encourage and maintain the highest standards of general medical practice and act as the voice of GPs on education, training, research and clinical standards.

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