Cardiovascular disease (CVD)

Multi-morbidity: facts, figures and trends

Multi-morbidity is often defined as the co-existence of two or more long-term conditions in an individual including mental illness.  It is the norm rather than the exception in primary care patients, and will become more prevalent as the population of Central Bedfordshire ages.  The prevalence of multimorbidity increases substantially with age and is present in most people aged 65 years and older. 

Figure 8: Emergency admissions: number of chronic conditions, 2014/15

Figure 8: Emergency admissions: number of chronic conditions, 2014/15. Source: Population Health, Evidence & Intelligence, 2014/15

People with long-term conditions and co-morbid mental health problems disproportionately live in deprived areas and have access to fewer resources of all kinds.  The interaction between co-morbidities and deprivation make a significant contribution to generating and maintaining inequalities.

Collaborative care arrangements between primary care and mental health specialists can improve outcomes with no or limited additional net costs.  An innovative form of liaison psychiatry demonstrated that providing better support for co-morbid mental health needs can reduce physical health care costs in acute hospitals.

Last updated Tuesday, 25th July 2017