Slowing down people’s progression to multiple long-term health conditions
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.
The reasons some people develop multiple health conditions sooner than others are not well understood. High blood pressure, obesity, smoking and drinking are risk factors that play a role, so are genes, biology and the conditions in which people are born, grow, live, work and age.
While it’s not yet clear which factors contribute more than others, our research and work to date show significant variation in the length of time between people developing one and subsequent conditions. For example, in Lambeth, people living in the areas with the highest levels of deprivation are developing long-term conditions on average 10 years earlier than those living in the most affluent.
Finally, the number of people living with multiple long-term conditions is on the rise. Currently, more than eight million people in England live with three or more long-term health conditions.
In our multiple long-term conditions programme, we support projects and activity through two strands of preventative work: improving healthcare and addressing social risk factors. We believe that people’s progression from one to many long-term conditions is influenced by a complex mix of factors including healthcare, personal finances, housing and employment.
We plan to intervene in two ways: by effecting change in people’s healthcare and by addressing the social risk factors that impact people’s health.
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.
Find out more about our multiple long-term conditions projects.
16 September, 2019
Our work tackling multiple long-term conditions through addressing social risk factors
16 September, 2019
Our work tackling multiple long-term conditions by supporting better healthcare
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.