Published: 14/04/2005, Volume II5, No. 5951 Page 23

Ann-Marie Coyne, director of organisational development, The Teaching PCT for East Lancashire

I was interested in the article about self-management of chronic disease and questions concerning its efficacy (Debate, pages 18-19, 17 March).

The Teaching primary care trust for East Lancashire is about to do a piece of strategic work on developing improved self-management of longterm conditions.

Working with our constituent PCTs, one of which has seconded a member of their staff, we hope to celebrate existing good practice while joining up our efforts to improve the patient experience.

We would be glad to hear from any colleagues who can share any relevant experiences. Please e-mail ann-marie. coyne@bwdpct. nhs. uk.