3 Dimensions for Long-term Conditions

A pioneering new King’s Health Partners project will provide improved mental and physical healthcare for patients with COPD, heart failure and hypertension. 

3 Dimensions for Long-term Conditions (3DLC) has been selected to be part of a £3.5 million Health Foundation Scaling Up improvement programme. The funding will scale up the award-winning  3 Dimensions of Care for Diabetes (3DFD), creating a multi-disciplinary service that integrates mind and body care for long-term conditions (LTCs). 

3DLC is an example of how our 3DLCpartners collaborate to improve care for patients. The programme is being led by clinicians at King’s College Hospital NHS Foundation Trust, working closely with colleagues at Guy’s and St Thomas’ and South London and Maudsley NHS Foundation Trusts and researchers at King’s College London, as well as Lambeth and Southwark NHS Clinical Commissioning Groups (CCGs). 

Evidence shows that common mental health disorders are more frequent in people with long-term conditions and that the combination of physical and mental health problems makes treatment more complex and requires increased access to healthcare services by patients. Evidence also shows that integrating mental and physical healthcare leads to better outcomes for patients. 3DLC will combine the physical treatment which people receive for their LTCs with psychological treatments such as motivational interviewing (MI) and cognitive behaviour therapy (CBT). 

3DFD, funded by Guy’s and St Thomas’ Charity and developed by Professor Khalida Ismail, Professor of Psychiatry and Medicine at King's College London, and Dr Carol Gayle, Consultant Diabetologist at King’s College Hospital, has proved to be a successful model of care for patients with diabetes in south London. It has been highlighted as an example of best practice in recent reports about joining up mental and physical health by NHS England and The King’s Fund.

3DLC will scale up this successful integrated care model for LTC patients who require a similar level of self-management and lifestyle changes.  The programme will aim to produce improvements in disease-specific outcomes, mental health status, quality of life, social functioning, and service use for our patients.

Dr Gayle, says:

Since its inception in 2010, 3DFD has grown from a pilot service with 119 patients 18 months ago to a busy, commissioned service receiving 300 referrals per year. We are delighted that we now have the opportunity to take what we have learned so far and apply it to other long-term conditions to improve outcomes for our patients.

Dr Sean Cross, Consultant Liaison Psychiatrist at St Thomas’ and King’s College Hospitals and Clinical Lead for Liaison Psychiatry Services for South London and Maudsley NHS Foundation Trust, says:

This project demonstrates our partnership’s commitment to mind and body care. By taking a unique, multi-disciplinary approach to caring for people with both mental and physical healthcare problems, we can provide better patient care and experience, as well as make best use of our collective expertise.

The project was awarded £500,000 by the Health Foundation and will begin in September of this year. The Scaling Up programme takes successful health care improvement interventions and delivers them at a larger scale.  Successful projects aim to improve healthcare delivery and/or the way people manage their own healthcare.