Attempts at planning across governments and facilities are limited, making it difficult to design robust patient pathways from primary care to hospital, and back into the community. As the evidence suggests that the number of people suffering from one or more chronic diseases will increase, it will be critical for primary health care services to adapt to models of health care delivery that require co-ordination across several health professionals. Alongside this, efforts to improve the ability of patients to be more proactive about managing their health and avoiding serious health conditions could be implemented.