Chest Heart & Stroke Scotland Respond to Long Term Conditions Framework Consultation

Earlier this year the Scottish Government opened a consultation period as they review their approach and policy for the care and support of those with long–term conditions as they investigate the possibility of a new “integrated” framework. 

Chest Heart & Stroke Scotland has contributed towards this framework with the consultation period ending on Sunday, July 20. 

A Chest Heart & Stroke Scotland spokesperson said:  “We recognise the significant shift that the Scottish Government’s Long Term Conditions Framework proposes and are cautiously optimistic about its potential. As Scotland’s largest health charity, supporting four long-term conditions, we can bring vital expertise to this work.  

“Today, we’ve published our full, people-informed response to the consultation. Our submission draws on the voices of people living with long-term conditions, clinicians, and our own experience delivering services across Scotland. We are already operating an evidence-based, cross-condition model of care in partnership with NHS partners, with specialisation built in where needed. This model has proven successful in improving recovery outcomes and could be applied more widely across other conditions.  

“We strongly support the move to a person-centred approach, something CHSS has long championed. Without clear action and adequate financial backing, there is a risk that progress will stall, particularly for certain conditions. 

“We remain wary that this framework could risk overlooking the real challenges of funding and staffing specialist services. We are concerned about the limited space for condition-specific actions. Acute care and diagnosis often require specialist expertise and deprioritising these could have serious consequences. For example, stroke survivors need access to 24/7 thrombectomy, and people with COPD need timely spirometry. These are not optional extras – they are essential provisions of care for these conditions.   

“That’s why we believe third sector organisations like CHSS must have a seat at the table. We already deliver rehabilitation, peer support, and care coordination that the NHS cannot do alone. We are ready to collaborate and help shape this framework from the outset.  

“We know progress is possible. We see it every day in the lives of the people we support. But to make this framework meaningful, it must be backed by leadership, investment, and accountability. The Scottish Government must ensure that no condition is left behind and that the third sector is recognised as a key partner in delivering lasting change.”  

Click here to view our full submission: CHSS’s response to the Scottish Government’s Long Term Conditions Framework Consultation (July 2025)