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In response to ever increasing burdens on our healthcare system and the wide variability in
the quality of epilepsy care across the UK, there has to be a change in the way epilepsy and
other long-term conditions are managed. Management needs to move away from the
episodic reactive model of epilepsy care to a more proactive model that averts or delays
unplanned admissions, promotes patient participation through improved self-management
and improves the quality of life of those with epilepsy. Although much progress has been
made in developing quality standards in epilepsy, in reality, guidelines are often poorly
supported and implemented. Transforming epilepsy care requires individual and
importantly organisational change in developing new models of integrated care that cross
organisational boundaries and provide more pro-active patient-centric care.

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