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UCLPartners proactive care frameworks

This site contains a package of tools and resources designed to enable primary care teams to continue to effectively manage patients with a number of long-term conditions.

The pack includes:

Search and risk stratification tools

That can be used with EMIS (and SystmOne to follow), accompanied by user guidance.

Education and training resources

Including protocols, guidance, videos and virtual training sessions to upskill the breadth of primary care team members to proactively support patients.

Digital tools

A selection of a clinically appraised digital tools to support patient activation and self-management in the home setting.