Background
Chronic disease drives the majority of healthcare demand, yet systems remain built for episodic, provider-led care. As workforces shrink and costs rise, self-management has become the only scalable path forward, with over 80% of long-term condition care already occurring outside the clinic.
Objective
This paper examines the evidence that patient self-management, supported by digital health tools, represents the only scalable model of healthcare delivery capable of meeting rising demand.
Methods
Drawing on NHS workforce projections, global cost analyses, and implementation data from Aide Health’s NHS asthma programme, the paper synthesises economic, behavioural, and clinical evidence from peer-reviewed sources.