Overall, National Voices welcomes the recognition of the need for a more joined up approach for older people with health and social care needs. We would, however, like to question the decision to limit the scope to those with more than one diagnosed long term condition. We believe that this goes against the Government’s intended focus on wellbeing and prevention (e.g. Clauses 1 and 2 of the Care Bill – as recognised under 3.4.1 of the draft scope) and commitment to more person-centred approaches that can support earlier identification and better management of risk factors (e.g. the Mandate, the participation guidance for CCGs).