House of Care, works to make Care and Support Planning conversations routine for people living with one or more long term condition

The House of Care represents a tangible and proven approach that allows healthcare to embrace Care and Support Planning and fulfil its responsibilities to support the self-management of people living with multiple long term conditions.

This approach supports and enables people to articulate their own needs and decide on their own priorities, through a process of joint decision making, goal setting and action planning.

Drawing upon the experience and learning from the Year of Care partnerships (this link will take you away from our website), early adopter projects in Lothian, Glasgow and Tayside will make Care and Support Planning conversations routine for people living with one or more long term condition. This should be the norm wherever a person is being supported or cared for – whether it is in primary and community care, secondary care, social care or in the third sector. It is crucial that all these services work collaboratively to support people and this model helps.

The goals of the projects are to ensure people living with long term conditions:

  • Are empowered by the model of care and the care planning process;
  • Are enable to articulate their own needs, deciding on their own priorities, supported by health and social care professionals through a process (a conversation) of information sharing, joint decision making, with goal setting and action planning;
  • Are supported to develop the knowledge, skills and confidence to manage their condition(s) effectively in the context of their everyday life; and
  • Have an  improvement in their experience of care, which should become more coordinated, with a measurably improved ‘patient experience’.

For further information:




The new Scottish GP contract, what next for people with long term conditions?

Written by: Dr Graham Kramer

Organisation: Annat Bank Practice, Tayside



Signed, Healed, Delivered

Written by: Mark Kelvin