TY - JOUR T1 - Are we stripping the care out of care plans? JF - British Journal of General Practice JO - Br J Gen Pract SP - 181 LP - 182 DO - 10.3399/bjgp17X690377 VL - 67 IS - 657 AU - Laura Bacon AU - Shamini Gnani AU - David Wingfield AU - Caroline Durack AU - Sheraz Khan Y1 - 2017/04/01 UR - http://bjgp.org/content/67/657/181.abstract N2 - In 2013, NHS England specified that: ‘... every person with a long-term condition or disability has a personalised care plan supporting them to develop the knowledge, skills and confidence to manage their own health’.1Around 40% of the UK population experience a long-term condition while 65% of people aged 65–84 years have two or more.2 This is an all-time high, with figures set to rise. This places significant personal, social, and economic burden on individuals, their families, and the community.The use of care plans to manage multiple long-term conditions — by assessing individual behaviour, setting joint goals, supporting self-management, and ensuring proactive follow-up — is based on Wagner’s Chronic Care Model.3 The model takes into account the need to provide support and structure to patients, and the fact that all long-term conditions have common challenges.Care planning has received extraordinary interest in the NHS. Policymakers endorse care planning as a way of containing high costs, encouraging a more person-centred approach, improving quality of life, and reducing mortality rates and emergency admissions to hospitals. But are care plans effective in this regard and what challenges do GP practices face in implementation?Systematic literature reviews on the impact of care planning show that it leads to only limited reductions in admissions and small improvements in patients’ physical health.4 However, … ER -