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NICE should produce guidance on multiple morbidities

8037901-article-hospitaldoctorsNICE should produce clinical guidelines that look at multiple-morbidities, as the number of people with long-term medical conditions rises.

Last week, a study in The Lancet found that the nearly a quarter of all people in Scotland have two or more chronic diseases.

At present, healthcare services, medical research and the education of medical students are dominated by a focus on individual diseases, the study authors say.

Yet rising numbers of people are living with more than two long-term disorders, which includes coronary heart disease, diabetes, cancer, stroke and depression.

Professor Sir Mike Rawlins, Chair of NICE, speaking at the NICE Annual Conference in Birmingham, said that although NICE guidelines are widely regarded across the globe they tend to be focused on a single condition rather than co or multiple morbidities.

“It won't be easy to do but the Mental Health Collaborating Centre has already produced guidance on depression in adults with a chronic physical health problem.

“We are thinking about producing a guideline on managing co-morbidities and GPs will be the key audience for this,

“We need to empower GPs and, secondly, when we produce a guideline we need to found out the three main co-morbidities that are related to it and take that into account.”

Professor Malcolm Grant, Chair of the NHS Commissioning Board, added that a number of clinical commissioning groups were already looking into the issue of proper management of multiple morbidities.

15 May 2012

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.