1. Vision on chronic care in Belgium, reviewed from dutch point of view dr Hans Vlek

2. Who am I? GP, from 1980 till 2010 Senior advisor, Vilans centre of expertise in long term care, in Utrecht, from 2010 Projectmanager, Slimmer met Zorg, from 2013 (Smarter in Care), in Eindhoven region PhD: thesis ‘Cardialogue’, 2000

3. % GNP for health care

4. Our job To do more for less..

5. Issues 1. 7 th area of action: the field of healthy functioning 2. Substitution of care 3. Delegation of tasks and Case management 4. The involvement of the professionals

6. 1.The field of healthy functioning

7. Health the abilty to adapt and to self manage Huber M. et al., BMJ, 2011

8. 2. Substitution of care 2014 2020

9. Power to the patiënt

10. Triple aim

11. 3. Delegation of tasks

12. 4.The involvement of the professionals

13. Advise Pay attention to substitution Pay attention to the triple aim concept Add the area of healthy functioning It is time to introduce the pratice nurse in primary care

14. Advise See that the professionals get (better) involved

15. Thank you for your attention h.vlek@vilans.nl

16. The House of Care