It's not possible to handle the chronic disease agenda without a fundamental transformation of both the delivery and financing of health care. Innovative technology (ICTs) will be fundamental element of this change but they will be difficult to embed in health care, unless the health care organizations themselves innovate. Whether or not we can reach the required scale in the transformation for a sustainable health system will depend on whether clinical and senior leadership drive service delivery out into the community and the home. There are several frameworks to drive health care in that direction.
Disclosure of Interest None declared