The national service framework for long term conditions: a novel approach for a "new style" NSF

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Abstract
Previously published NSFs in the UK have provided standards for cancer, coronary heart disease, mental health diabetes, older people, children’s services, and renal disease. Each set a series of 12 or more standards, and most included clearly defined national targets that service providers were obliged to meet. Many were easily measurable process targets, for example: “No patient should wait longer than 2 weeks for initial consultation in cases of suspected cancer”,1 and “Thrombolysis should be given within 60 minutes of calling for professional help, in all eligible cases of acute myocardial infarction”.2 Ring fenced funding was made available to help providers to achieve these targets, and a series of “milestones” was drawn up, defining the services that should be in place by specific dates.

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