Many people in the UK are living with long-term health problems. These may be mental health problems - such as depression or anxiety; or physical conditions such as high blood pressure, diabetes, heart disease or arthritis. Healthcare professionals diagnose 'multimorbidity' when people are living with more than 1
It is known that multimorbidity patients have limited understanding
The Sharing Evidence Routine for a Person-Centred Plan for Action (SHERPA) model we have developed proposes three simple steps: share, link and plan.
SHERPA supports the translation of evidence-based medicine and complex consultation models into simpler, natural conversations about care, appropriate for individual patients with multimorbidity.
Step 1, share - the practitioner and patient discuss the problems and issues from their perspectives. The aim is to create a shared view about the relative importance of the issues.
Step 2, link - the clinician and patient work together to agree on how the issues link together, sketching these out on paper if helpful. This creates a shared understanding of the individual as a whole, which would inform decisions.
Step 3, plan - rather than basing management purely on the evidence about specific diseases, the patient and practitioner also incorporate evidence about what they believe is likely to work to create an individualised plan.
From left to right the authors: Neal Maskrey, Visiting Professor of Evidence-informed decision making, Keele University; Dr Edmund Jack, GP Partner Yealm Medical Centre, Clinical Champion - Making Sense of Evidence, PenCLAHRC; Richard Byng, GP and Professor in Primary Care Research, Plymouth University.