Abstract
While slow to gain traction in general practice, CLIC, a model of long-term conditions care, generally worked well for people who possessed self-efficacy. CLIC provided only minimal consideration of those negatively affected by the social and cultural determinants of health. There was an uneven implementation of CLIC across four general practices and variable outcomes. This was further exacerbated by the Covid-19 pandemic.
Building on these findings, a conceptual framework suggests significant changes in health funding, leadership, and communication. There must also be a willingness to provide culturally relevant care and an integrated health and social care system. The key gain from such a radical redesign will be more equitable programmes focused on a broader range of health needs.