Collaborative care and support planning

The RCGP is embedding CC&SP for people living with LTCs and multimorbidity, with funding from the Health Foundation and NHS England.

Many GPs report feeling overwhelmed and overburdened by their current way of working. They regularly see a person about their LTCs but generally work according to a reactive medical model; seeking medical solutions or cures to problems and taking on the responsibility to 'fix' people's problems.

The CC&SP model eases the burden on primary care when managing conditions, symptoms and/or functional problems that affect people with LTCs. Using this model enables the person to develop the knowledge, skills and confidence to increase self-management of their condition(s), building on their personal strengths and harnessing the assets available to them in their social network (such as carers) as well as the wider community.

Collaborative Care and Support Planning toolkit

The Collaborative Care and Support Planning toolkit offers a framework, which recommends a proactive holistic, flexible, and tailored approach to care, and recognises the individual as an expert in their own care. This toolkit provides a collection of relevant tools and information to assist members of the primary care team to implement the six-step model of collaborative care and support planning.

RCGP endorsement of collaborative care and support planning

CC&SP: Ready to be a Reality sets out the necessity for CC&SP to be core business for general practice. Among other recommendations it highlights CC&SP as an effective way to manage multimorbidity and recommends its inclusion in the RCGP curriculum.

CC&SP Network of Champions

Our network promotes person-centred care and supports organisations to implement CC&SP, in partnership with NHS England’s Long Term Conditions team.

If you would like to request support from a Champion, ask them a question or hear more about CC&SP / person-centred care please get in touch at

RCGP Integrated Personal Commissioning (IPC) Network

RCGP is growing a network across the IPC pilot sites, to support NHS England's IPC programme and promote the integration of care across the health, social and voluntary and community sector. The network will build an awareness and understanding of IPC in primary care and support individuals to implement this new way of working. If you are based at an IPC site and would like more information, or if you would like some more general information, contact

Stepping Forward: Commissioning principles for collaborative care and support planning

A new guide to support commissioners and practice staff to implement CC&SP as a tool for supporting people with long term conditions. Recognising that there is no ‘one size fits all’ approach, the CC&SP programme team provide core principles and building blocks for delivery which are backed-up by real life examples. Read the guidance here:

RCGP and NHSCC webinar - Stepping Forward: the challenges and rewards of commissioning collaborative care and support planning

The RCGP and NHS Clinical Commissioners held a webinar to accompany the launch of the 'Stepping Forward' guide. The webinar explored the experiences of two organisations that have implemented care and support planning. View the NHSCC and RCGP webinar Stepping Forward: commissioning collaborative care video.

Further information

For further information contact

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