Integrated care for people with multimorbidity into elective surgical pathways: mixed-methods co-design study - Takeaways - MDSpire

Integrated care for people with multimorbidity into elective surgical pathways: mixed-methods co-design study

  • By

  • Sivesh K Kamarajah

  • Jugdeep Dhesi

  • Kamlesh Khunti

  • Krishnarajah Nirantharakumar

  • Paul Cockwell

  • Clare Hughes

  • Paul Stern

  • Joyce Yeung

  • Dion G Morton

  • Aneel A Bhangu

  • Shalini Ahuja

  • November 12, 2025

  • 0 min

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  • 1

    Elective surgical pathways in the UK inadequately address the needs of patients with multiple long-term conditions (MLTC), leading to poor health outcomes.

  • 2

    A mixed-methods co-design study developed an intervention to integrate MLTC care into surgical pathways, focusing on early identification and optimization.

  • 3

    The study identified significant gaps in current practices, with only 10% of hospitals having MLTC-specific care pathways for elective surgical patients.

  • 4

    A pragmatic intervention was co-designed, prioritizing diabetes, hypertension, weight management, and smoking cessation through a structured checklist.

  • 5

    The new model aims to utilize the surgical waiting period for proactive management of MLTC, enhancing patient care and improving health outcomes.

Original Source(s)

Integrated care for people with multimorbidity into elective surgical pathways: mixed-methods co-design study

  • by Sivesh K Kamarajah, Jugdeep Dhesi, Kamlesh Khunti, Krishnarajah Nirantharakumar, Paul Cockwell, Clare Hughes, Paul Stern, Joyce Yeung, Dion G Morton, Aneel A Bhangu, Shalini Ahuja

  • November 12, 2025

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