This competence is about working with families, carers and others to encourage and enable them to support individuals with long term conditions through the provision of practical and emotional support and helping them to review and develop the support they provide and receive. The term carers and families’ is used to mean any persons who have an active and on-going informal role in caring for the individual with long term conditions, including those with a familial relationship to the individual. Partners, where they exist, would be considered as family members. The individuals with long term conditions may be adults of working age, children or adolescents or older people. Others who may be involved in supporting individuals with long term conditions includes friends and others within the individual’s social network such as religious leaders.