The two broad disease courses, malignant (m) & non-malignant (nm), will be considered separately due to their different trajectories & needs, & resultant different service models. The intervention model for patients with non-malignant disease consists of two-three visits & three telephone contacts (to patient &/or primary care staff) over a four-week period with a 16 week (from first assessment) follow up, whereas the model for patients with malignant disease consists of one visit in conjunction with a primary care professional/key worker & two telephone contacts (to patient &/or primary care staff/key worker) over a two-week period, with a six week (from first assessment) follow up . Thus, the measurement points for the disease groups will differ.