It has been reported that patients with Long-Term Conditions (LTCs) account for around 50% of GP appointments, 64% of outpatient appointments and 70% of hospital bed days (Department of Health 2012). Around 70% of total health and care expenditure in England is attributed to people with LTCs (Department of Health 2012). People diagnosed with a number of LTCs are the most intensive users of health and social care services because their needs are usually more complex than those of people with single diseases. Most people aged 65 and over have multi-morbidity although a recent Scottish study found the absolute number of people with multi-morbidity was higher in those aged under 65, indicating its implications for the population as a whole (Barnett et al 2012).