Educating people with long-term conditions to participate in the management and treatment of their symptoms has been central to UK health and social care policy over the last decade and continues to be a core feature. 1 The UK National Health Service (NHS) identifies five domains in which it wants services to ensure high standards of care, the second of which is: ‘enhancing quality of life for people with long term conditions’. It is well recognised that by involving people in planning their own care, improvements in outcomes can be demonstrated and people feel more in control of their lives. 1