The Multiple Conditions Guidebook - One Year On
The Taskforce on Multiple Conditions revisited seven of the case studies featured in The Multiple Conditions Guidebook to find out how things are progressing in the year since their original publication. And in a year that has been extraordinary for everyone, the pandemic has presented some particular challenges for people living with multiple long term conditions.
Presented in a lively Q&A format, this report sets out candid conversations with the practitioners leading these services as well as perspectives from some of the patients accessing them. Seven case study updates are included from the Black Country, British Lung Foundation, Gateshead, Luton, Cornwall, Southwark and Yorkshire.
Given the mission of the Taskforce we hope that these findings and the case studies will be of use to the health and care sector – including local NHS bodies, councils and charities, as well as national policy makers. This work has relevance now as we navigate winter and the ongoing pandemic, but also for the longer term as we aim to maximise opportunities for new ways of thinking and working in the future that have arisen from having to do things differently during this time.
4 ways to take action now
See below for four suggested ways you can take action now to improve care for people living with multiple long-term conditions:
- Ask yourself: “How would someone living with multiple conditions describe our service offer?”
- Share this report within your own networks and with colleagues in your services leading on reducing health inequalities
- Share your own examples of good and emerging practice with the Taskforce
- Sign up to join CHAIN, the mutual support and learning network, and join the multimorbidity sub-group to keep up to date with learning in this topic area
Animation from the Taskforce on Multiple Conditions
Why is a focus on multiple long-term conditions important? And what role do we all play in supporting those who are living with multiple conditions? Watch our new animation to find out:
Like this animation?
Please share it on social media, including the #MultipleSolutions hashtag, and with your colleagues and networks. We would like to hear from you if you have ideas or opportunities for the Taskforce to continue this conversation. Please get in touch with our Programme Manager, Eve Riley.
Take action now
See below for 5 suggested ways you can take action now to improve care for people living with multiple long-term conditions.
Share 1 thing you learned from this animation with 3 other people
Read The Guidebook on Multiple Conditions and ethnographic research report ‘Just one Thing After Another’: Living with Multiple Conditions. Consider getting a group together to discuss the examples included (virtually if necessary)
Pick 1 issue that you can impact and start there: medicines management; support with mobility; chronic pain; mental health; social prescribing; rehabilitation; prevention; continuity of care; personalised care and support planning; care coordination – the list goes on. Pick an area you can influence and go from there
Conduct a local listening exercise with people who use your services and carers about their experiences of living with, or caring for people living with, multiple conditions. Think about how to ensure that the voices of seldom heard community members are included
Get involved in conversations about system wide ‘reset’ plans on your social media accounts or online networks and the need to think about multiple conditions
Background to the Taskforce on Multiple Conditions
The Richmond Group of Charities are acutely aware that the millions of people that we support are often and increasingly living with two or more long-term conditions. To better understand the nature and scale of the challenge of people living with multiple conditions we commissioned a report on multimorbidity. We wanted to determine how it affects people’s lives and why the system struggles to respond.
That report showed that the extent and impact of multimorbidity is significant:
- It is estimated that between 15%-30% of the population in England live with two or more long term conditions;
- People with multiple conditions have poorer health outcomes, and poorer experiences of care and are more likely to report care coordination problems;
- Multimorbidity occurs 10-15 years earlier in people living in the most deprived areas than it does in those living in the most affluent areas;
- The perspective and lived experience of people with multiple conditions is almost entirely absent from the evidence we reviewed.
Which is why along with our partners, The Royal College of General Practitioners and Guy’s and St Thomas’ Charity, we have formed a Taskforce to focus on this challenge.
How the Taskforce works?
Our Taskforce is run by a programme team who represent The Richmond Group and The Royal College of General Practitioners and Guy’s and St Thomas’ Charity.
We have also set up an Expert Advisory Group with a wide range of backgrounds and expertise, from academia, policy and importantly those who have experience of living with multiple conditions.