Some people who have a long term condition, like diabetes or asthma, may be using health services frequently and ending up in hospital. If we were able to do more to support them and help them self manage, they could just see staff at their GP practice and not need to go into hospital.

We want to better understand people’s issues and needs. We want to provide people and their families with more targeted support and help them set personal goals, such as being able to play football or feeling less anxious.

If people can get the care they need locally and earlier, it should stop their health from getting worse and they won’t need to go into hospital in the first place, which is better for everyone.