I used to manage a Long Term Conditions community nursing team which included Diabetes, Heart Failure, COAD, Macmillan, Respiratory as well as a raft of other multiple pathology conditions. I have an LTC myself - Systemic Lupus erythematous I could write you a book but I will distill it to one comment which is this. In my experience Highly trained Specialist Nurses understand and deliver this complex care and management best and its best done in the community rather than in hospital.
I'm Sure It's a Repeat of the Summer of 1976


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