Remote Patient Monitoring data combined with existing health records data provides the opportunity to predict patient events such as mortality, hospital readmission and flare-ups in long-term conditions using AI. The UK is leading the applied application of AI technology to long-term condition management through an NHS funded project with Lenus Health. The project aims to operationalise AI models to predict COPD-related events using unique datasets developed from connecting health data from various sources across the patient journey from case finding to management. Building innovative and sustainable digital solutions will enable proactive interventions outside of the hospital. This shifts the burden of care outside of the hospitals where it can become community supported self-management to improve quality of life and reduce costs across ICS systems.