Many people in the UK and worldwide live with multiple chronic health conditions. Those in the most disadvantaged social circumstances tend to develop multiple conditions earlier in life, develop co-occurring physical and mental health conditions and have poorer health and social outcomes. Local Authorities hold an array of anonymous data describing the social circumstances of their residents, such as housing and social care provision. This information could be used to help us better understand the social circumstances of residents who live with multiple health conditions and better plan health and care services.
This project aims to investigate how residents’ health and Local Authority data can be used to help us better understand the social circumstances of residents who live with multiple health conditions and help inform how senior decision makers design and deliver health and care services.
This project involves:
• A review of the current evidence examining the social circumstances of residents who live with multiple chronic health conditions
• A study using advanced statistical methods to analyse large datasets and examine the social circumstances of residents who live with multiple chronic health conditions
• A study involving individual interviews with senior decision makers which explore their experiences of using data to inform how they design and deliver health and care services
The NIHR Applied Research Collaboration (ARC) North Thames have a Research Advisory Panel, which is a group of patients, carers and members of the public interested in research. This panel have shaped the project by helping me choose the most important social circumstances that should be focused on. Going forward, I also intend to engage with resident groups from my population of interest to help select the specific chronic conditions this project focuses on.
Research findings have been requested by the projects’ local health and care partners to help shape their collective data strategy going forward. Findings are being presented at academic conferences, being written up as peer-review publications and being written up as blog posts. These will be shared widely on social media platforms.
Ingram E, Gomes M, Hogarth S, McDonald HI, Osborn D, Sheringham J. Household Tenure and Its Associations with Multiple Long-Term Conditions amongst Working-Age Adults in East London: A Cross-Sectional Analysis Using Linked Primary Care and Local Government Records. International Journal of Environmental Research and Public Health. 2022; 19(7):4155. https://doi.org/10.3390/ijerph19074155
Ingram, E. Ledden, S. Beardon, S. Gomes, M. Hogarth, S. McDonald, H. Osborn, D P. Sheringham, J. (2020) Household and area-level social determinants of multimorbidity: a systematic review. Journal of Epidemology & Community Health.
Ingram E, Cooper S, Beardon S, et al Barriers and facilitators of use of analytics for strategic health and care decision-making: a qualitative study of senior health and care leaders’ perspectives BMJ Open 2022;12:e055504. doi: 10.1136/bmjopen-2021-055504