Slowing down people’s progression to multiple long-term health conditions
Multiple long-term conditions is a growing health issue – it has a huge impact on peoples’ lives, their communities and our health and care system. We use the term 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 showed that, although black communities only make up 18% of the local adult population, they account for 27% of people with multiple long-term conditions. Also, those living in the areas with the highest levels of deprivation are developing conditions on average 10 years earlier than those living in the most affluent.
As the scope of the issue is huge, we focus our efforts to achieve the most impact. Our programme looks at tackling the complex mix of factors influencing progression.
We aim to tackle this issue over the next 10 years. We start from the principle that while there are many causes for people's variation in progression, context matters. Our focus is on people living with one condition who are at highest risk of developing many. The programme will support projects that fit into three broad themes:
Our programme looks to understand “what works” in Lambeth and Southwark, as well as identify scalable approaches that could be replicated in other places. We work with a range of partners to layer up projects and activity at a neighbourhood level, as well as influence national policy and address borough-wide issues.
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, working with different partners to support a mix of large and small-scale activities in Lambeth and Southwark.
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