Slowing down people’s progression to multiple long-term health conditions
Multiple long-term conditions is a growing health issue with a large impact on peoples’ lives, their communities and our health and care system. We use multiple long-term conditions to describe when someone lives with three or more long-term health conditions for which there is currently no cure, but which can be treated – such as asthma, diabetes or depression.
In the London boroughs of Lambeth and Southwark, more than one in five residents live with at least one long-term condition, and over 19,000 live with three or more. Our recent research also identified that, although black communities make up 18% of the local adult population, they account for 27% of people with multiple long-term conditions. In addition, those living in the most deprived areas of our boroughs are developing conditions on average 10 years earlier than those living in the least deprived areas.
As the scope of the issue is huge, we are focused in our approach to achieve impact. Our programme looks specifically at tackling the complex mix of factors influencing progression.
We focus on three key routes to slowing down the progression of people living with long-term conditions who are at highest risk of developing multiple conditions:
Our programme looks to understand “what works” on this issue, as well as identify scalable approaches that could be replicated in other places. We draw heavily on design-led approaches, searching for opportunities to develop a deep understanding of people’s lived experience, and focus on building partnerships across the commercial, statutory and social sectors.
After exploring the current evidence around the issue, testing ideas with our partners through small projects and refining our strategy, we are now delivering our multi-year programme. We are taking a whole systems approach to tackling this complex health issue; supporting a mix of large and small-scale activities in Lambeth and Southwark. This includes working intensively in specific communities through our neighbourhood schemes; building a deep understanding of the factors influencing the progression of those at greatest risk; testing new approaches to some of the underlying issues influencing progression such as financial inclusion and housing; and funding a research challenge fund to help strengthen the evidence base. Find out about some of our key projects.
02 May, 2019
As an urban health foundation, we explore how living in cities impacts on people’s health and wellbeing. We use our own insights and learn from others, identifying what works to inform practice and policy.
30 April, 2019
Our Neighbourhood Schemes focus on driving change around a health issue within a small geography or defined community, targeting the issue from many angles.
31 July, 2018
An ambitious cross-sector partnership to improve the lives of people with multiple long-term conditions in the UK