Scottish Government publishes analysis of Long Term Conditions Framework consultation
- Area of Work: Policy and Research
- Type: News Item
- Published: 29th October 2025

Most respondents supported the principle of a balance between cross-cutting and condition-specific work.
The Scottish Government have published the analysis of responses to their consultation on a proposed Long Term Conditions Framework (LTCF). They had proposed the creation of an overarching framework for long term conditions in general, supported by targeted actions for particular conditions. They describe this as taking a balance between a cross-cutting and condition-specific approach.
The ALLIANCE responded to the original consultation following engagement with our members. We supported the broad principle of the proposals, but noted that some members had concerns about the loss of expertise and support that has been delivered through existing condition-specific strategies.
Overall, around 80% of respondents to the consultation agreed with the principle of a balance between cross-cutting and condition-specific work. Although this view was roughly equally prevalent amongst individual and organisational respondents, third sector organisations were notably less supportive, with only 62% of such respondents agreeing.
Amongst the themes that emerged from the responses were:
- Challenges in existing service delivery, including recruitment and retention of staff
- The historically under-recognised role of the third sector in supporting people to live well with long term conditions
- The need to continue condition-specific work, which should be determined on the basis of factors like prevalence, tackling health inequalities and addressing unmet need
- The importance of a whole-system and person centred approach which recognises multi-morbidity and inequality.
You can read the full consultation analysis on the Scottish Government’s website.
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