The South East London multimorbidity model of care (MMMoC) pilots were an approach to improving care for people living with multiple long-term conditions (mLTCs).
They brought together integrated neighbourhood teams (INTs) to work within care settings and across organisations to provide joined-up, person-centred care, closer to where people live.
The MMMoC model focused on prevention, early identification and better ongoing coordination of care. This helped improve outcomes across the care pathway as well as service user and staff experience.
This work has focused on people living with chronic kidney disease (CKD) and conditions which often coexist, such as high blood pressure and diabetes.
MMMoC has become the blueprint for the wider roll out of INT working in south east London.
About this page
This page presents evaluations of the different elements of the MMMoC.
Each evaluation shows how a part of the model has been delivered and the impact on:
- care and outcomes
- service user and staff experience
- service utilisation
For a summary of the evaluation of the full South East London multimorbidity model of care programme — including key findings, outcomes and learning from across all workstreams — please click the button below:
How to use this page
Select a section below to explore each part of the model and what the evaluation has found.
Coming soon
The final section of the evaluation, the multispecialty pharmacy input, will be uploaded to this webpage soon.
