Three care plans from one West London multidisciplinary group workshop

This section of LJPC provides multidisciplinary insights into ways in which to explore the problems of patients, particularly those with long-term conditions. Each case presented must have had multidisciplinary discussions to arrive at a management plan. To retain patient anonymity the specific location of the case study must not be mentioned and details that might identify specific individuals should be altered. When submitting papers to this section your covering letter should explain which bits have been altered. Each case should be structured as follows: The Problem(s) as perceived by the clinician presenting the case;The Story-a brief summary of the history and context;Suggestions made by team members about ways to think about the problem(s);Action Points, including data to be gathered by the clinician to explore the approach to the problem; andA Review (where done)-of what happened. Authors are encouraged to complete this section at a later date including what they learned. The Editor for this section of LJPC is Dr Senan Devendra, Consultant Physician in Acute Medicine & Endocrinology, West Hertfordshire Hospitals NHS Trust. Email: ddevendra@nhs.net.