The Journal of mHealth Vol 1 Issue 1 (Feb 2014) | Page 40

Rising Costs of Chronic Condition Management UK UK Can mHealth Provide Answers to the Rising Costs of Chronic Condition Management? equivalent to climate change. It is putting pressure into the system, which, unless we change the way we address the problems, will overwhelm the system,” says McShane. “This is the biggest problem facing the health system and the care system and the costs are growing year on year. They are huge already and they will continue to grow.” The soaring number of people with long-term medical conditions such as diabetes and dementia is threatening to “overwhelm” the NHS, one of the health service’s most senior figures warns. The challenges posed by patients with chronic medical conditions are so great that they represent the “healthcare equivalent to climate change” and must force the NHS to undertake a major rethink of how it cares for such patients, Dr Martin McShane says in a recent interview with the Guardian Newspaper in the UK. Looking after the 15.4 million people in England with at least one long-term condition already takes up 70% of the NHS’s £110bn budget – £77bn – as well as £10.9bn of the £15.5bn spent on social care in England, he says. The costs are so huge 38 February 2014 that the NHS could become unsustainable unless it gives those with long-term conditions better care, with much of it provided by GPs performing enhanced roles rather than hospital doctors, says McShane, NHS England’s national director for people with longterm conditions. McShane is responsible for those ongoing illnesses or diseases that see patients become regular users of NHS services, through checkup