Understanding the health care needs of people with multiple health conditions

The Health Foundation, November 2018

This report finds that approximately 14.2 million people have two or more conditions, which represents nearly a quarter of all adults living in England. It argues that resourcing primary care so GPs and nurses have the time to work together with patients to manage their conditions, and ensuring that hospital care has more coordination between specialties is key to supporting patients with multiple health conditions.

Click here to view the full report.

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How Should Health Policy Respond To The Growing Challenge Of Multimorbidity?: We need patient-centred care, with more emphasis on generalist rather than specialist care and better integration between general practice, hospitals and social care: (Policy Report 39)

University of Bristol, Policy Bristol, October 2018

The number of people with multiple long-term conditions, known as multimorbidity, is rising internationally, putting increased pressure on health care systems, including the NHS. Researchers from the 3D Study – the largest ever trial of a person-centred approach to caring for patients with multimorbidity in primary care. This report discusses the challenges facing general practice and how the health care system needs to respond.  People with multimorbidity – one or more long-term health conditions, such as diabetes, heart disease and dementia – are more likely to experience poor quality of life and poor physical and mental health. They use both general practice and hospital services far more often than the general population. However, healthcare systems around the world are largely designed to manage individual diseases or episodes of illness rather than patients with complex multiple health care needs.

Click here to view the full report.

“Just one thing after another”: living with multiple conditions

Richmond Group of Charities, October 2018

This report shares learnings from ten in-depth interviews with people living with multiple long-term conditions from a wide range of demographics and locations across England. It showcases their everyday experiences and their own perceptions of their quality of life as well as the changes they’d like to see.

Click here to view the full report.

How to improve care for people with multimorbidity in Europe?

World Health Organization, May 2017

Where do policy makers start if they want to prepare their health systems for the growing challenge of multimorbidity? This policy brief finds that Europe’s health systems are ‘disease-oriented’ and organised around single medical specialties, leading to fragmented care. It examines how to support patient-centred integrated care provision by changing clinical practice and reforming the health and social care system.

Click here to view the report.

Multimorbidity: clinical assessment and management. NICE Guideline.

NICE, September 2016

This guideline covers optimising care for adults with multimorbidity (multiple long-term conditions) by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care. It aims to improve quality of life by promoting shared decisions based on what is important to each person in terms of treatments, health priorities, lifestyle and goals. The guideline sets out which people are most likely to benefit from an approach to care that takes account of multimorbidity, how they can be identified and what the care involves.

Click here to access the guideline.