King's Health Partners projects explore long-term conditions in urban areas

Newly funded projects across our partnership will explore how social circumstance and health interact for people with long-term conditions.

Inner city health articleWe are working in partnership with King’s College London and Guy's and St Thomas’ Charity to fund several new research projects that explore how social circumstances and health in inner city London interact in the lives of people living with multiple long-term health conditions (MLTCs).

The second round of the Multiple Long-term Conditions Challenge Fund supports seven projects that will help us understand how and why working age people in Lambeth and Southwark progress - sometimes rapidly - from one to many long-term health conditions and what can be done to slow this down.

 We are encouraged to see such high-quality projects around the wider social determinants of long-term conditions, which need tackling in order to prevent 10 - 15 years of avoidable ill health, experienced by people living in deprived areas of our place today. 

says Barbara Reichwein, Programme Director for the Charity’s multiple long-term conditions programme.

The seven projects will run over 24 months until June 2021: 

Mental and physical multimorbidity patterns among working-age ethnic minority adults in Lambeth

Led by Dr Alex Dregan, Department of Psychological Medicine, King’s College London

Aiming to determine the relationship between the onset of mental disorders among working-age adults and later multimorbidity using prospective data from three large databases within Lambeth using ethnic minority background as a focus.

Determinants of multiple long-term conditions in Black African Communities with HIV

Led by Dr Frank Post, Department of Sexual Health/HIV, King’s College Hospital NHS Foundation Trust

This is a study of syndemic factors in African and Caribbean people with HIV. Focus groups to explore the role of syndemics in the development of long-term conditions. An educational programme pilot will be developed to improve knowledge in these communities.

Online peer support for preventing comorbid depression in people with long-term conditions

Led by Dr Lauren Rayner, Department of Psychological Medicine, King’s College London

Co-producing an online psychoeducation and peer support platform for local long-term condition patients experiencing subthreshold depression, with a view to intervening early and preventing development of comorbid major depression in this at-risk population.

Evaluation of cardiovascular risk tools in people living with HIV

Led by Dr Anthony Wierzbicki, Department of Chemical Pathology, Guy’s and St Thomas’ NHS Foundation Trust

This project will analyse data from a large, representative group of people living in the UK with HIV to calculate baseline estimated five-year risk of developing heart disease, strokes or death. The different cardiovascular disease risk tools will be evaluated, and the findings will inform national guidelines about prevention and treatment.

Determinants of MLTCs among young adults with mental disorders: a data-linkage study

Led by Dr Brendon Stubbs, Department of Psychological Medicine, King’s College London

Investigating and evaluating the development of conditions such as chronic pain and asthma among young adults with and without mental health conditions across primary and secondary care. The findings will be used to develop strategies to help at-risk groups and improve health outcomes for young adults with mental disorders.

The inter-relationship between long-term conditions and employment

Led by Dr Sharon Stevelink, Department of Psychological Medicine, King’s College London

Analysing longitudinal data to explore the risk for progression from one long-term health condition to several, with a focus on socio-demographic, socioeconomic, psychosocial and health factors. This will lead to interventions to improve health and well-being and reduce health inequalities in this population.

Patterns of multiple long-term vascular conditions in Lambeth and Southwark

Led by Dr Abdel Douiri, School of Population Health & Environmental Sciences, King’s College London

Piloting multiple long-term vascular conditions data collection in Lambeth and Southwark, building on a local stroke register and routine National Cardiovascular Outcomes Research data. By linking this data with primary care data, it will provide pilot estimates of the effects of multiple long-term vascular conditions on physical and mental outcomes.

41 proposals were reviewed across two rounds by a multi-disciplinary panel of experts. The diversity of the proposals received was particularly impressive, many ideas looked to reach people outside of healthcare settings including via foodbanks, workplaces and homelessness services.

To learn more about the Multiple Long-term Conditions Challenge Fund, visit the Guy’s and St Thomas’ Charity website.