This study explored district nursing teams’ perceptions of the current chronic conditions management model in a specific locality in Wales. Chronic diseases are now the leading cause of illness and disability across the UK, placing an increasing demand on public services as healthcare staff try to meet the needs of those with long-term conditions. The author used action research to conduct the study, encouraging the nurse participants to critically review their practice. The findings indicated that a major overhaul of the current model of care was not required; the foundations were there and just some small steps and a shared vision led to sustainable changes for an efficient and effective chronic conditions service.