{"id":39013,"date":"2025-04-25T07:24:42","date_gmt":"2025-04-25T06:24:42","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=39013"},"modified":"2026-01-08T16:30:28","modified_gmt":"2026-01-08T16:30:28","slug":"evidence-review","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/ht2040\/evidence-review\/","title":{"rendered":"Mai s\u0103n\u0103to\u0219i \u00eempreun\u0103 2040: Prima noastr\u0103 cohort\u0103"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_table-of-contents-module assembler_module assembler_table-of-contents-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Section titled module-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/39013\/#module-1\" class=\"anchor\"><span class=\"hidden\">Section titled module-1<\/span><\/a><!-- Template found for table-of-contents-module - Template: template-table-of-contents - Matched: _only -->\r\n<section class=\"w-full\">\r\n      <div class=\"relative h-auto lg:h-[450px] w-full lg:mb-9\">\r\n            <picture  class=\" no-lazy\">\n                  <source media=\"(min-width: 640px)\" srcset=\"https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-1024x394.jpeg 1024w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-300x116.jpeg 300w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-768x296.jpeg 768w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-1536x592.jpeg 1536w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-2048x789.jpeg 2048w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-1320x508.jpeg 1320w\" type=\"image\/jpeg\">\n                  <source media=\"(min-width: 0px)\" srcset=\"https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-300x116.jpeg 300w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-1024x394.jpeg 1024w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-768x296.jpeg 768w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-1536x592.jpeg 1536w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-2048x789.jpeg 2048w, https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-1320x508.jpeg 1320w\" type=\"image\/jpeg\">\n                          <img decoding=\"async\" src=\"https:\/\/bnssghealthiertogether.org.uk\/wp-content\/uploads\/2025\/02\/AdobeStock_518974179-scaled-e1740663386138-300x116.jpeg\" width=\"300\"  height=\"116\"  alt=\"\"   class=\"w-full h-72 lg:h-full lg:absolute lg:inset-0 object-cover no-lazy\" \/>\n              <\/picture>\n                  <div class=\"lg:absolute lg:bottom-0 lg:left-0 lg:right-0\">\r\n          <div class=\"w-full content:max-w-content content:mx-auto\">\r\n            <div class=\"block xl:inline-block bg-white p-6\">\r\n              <h1 class=\"text-primary break-words mb-0\">Healthier Together 2040<\/h1>            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n          <\/div>\r\n    <div class=\"entry-content w-full mx-auto max-w-content border-b border-pale-grey mb-6 pb-3 sm:pb-6\">\r\n        <div class=\"navigation-list\">\r\n                    <ul>\r\n                      <li class=\"text-sm\">\r\n                              <a href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/ht2040\/\" class=\"text-sm underline-offset-4 font-normal hover:!underline-4\">\r\n                                                                Overview                                <\/a>\r\n                          <\/li>\r\n                                <li class=\"text-sm\">\r\n                              <a href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/ht2040\/why-important-now\/\" class=\"text-sm underline-offset-4 font-normal hover:!underline-4\">\r\n                                                                Why it's important now                                <\/a>\r\n                          <\/li>\r\n                      <li class=\"text-sm\">\r\n                              <a href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/ht2040\/what-we-know\/\" class=\"text-sm underline-offset-4 font-normal hover:!underline-4\">\r\n                                                                Our population                                <\/a>\r\n                          <\/li>\r\n                      <li class=\"text-sm\">\r\n                                                              Our first cohort                            <\/li>\r\n                      <li class=\"text-sm\">\r\n                              <a href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/ht2040\/our-commitments\/\" class=\"text-sm underline-offset-4 font-normal hover:!underline-4\">\r\n                                                                Our commitments                                <\/a>\r\n                          <\/li>\r\n                  <\/ul>\r\n          <\/div>\r\n  <\/div>\r\n<\/section><\/div><!-- .assembler_table-of-contents-module.assembler_module.assembler_table-of-contents-module_1.assembler_module_1..transparent --><div class=\"assembler_text-module assembler_module assembler_text-module_2 assembler_module_2  transparent\"><a tabindex=\"-1\" title=\"Section titled module-2\" id=\"module-2\" href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/39013\/#module-2\" class=\"anchor\"><span class=\"hidden\">Section titled module-2<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-3 sm:pt-6 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1><strong>Our first cohort<\/strong><\/h1>\n<p>From our four population groups who are currently, or at risk of, experiencing the poorest health outcomes, we are beginning with a focus on working-aged people living with multiple health challenges.<\/p>\n<h2>Understanding working-age adults affected by multiple long-term conditions and those at future risk<\/h2>\n<p>This page provides a summary of our Healthier Together 2040 evidence review: <a href=\"https:\/\/bnssghealthiertogether.org.uk\/library\/understanding-working-age-adults-affected-by-multiple-long-term-conditions-and-those-at-future-risk-healthier-together-2040\/\">Understanding working-age adults affected by multiple long-term conditions and those at future risk<\/a>.<\/p>\n<p>The review represents a milestone in the process of generating Strategic Intentions for the Working Age population living with multiple long-term conditions. It outlines a set of Design Principles derived from insights gathered through local linked data, a literature review centered on multiple health needs, and discussions with experts, the public and key stakeholders. These Design Principles will guide the project into the next phase of generating plans through community-led design.<\/p>\n<h3>About Healthier Together 2040<\/h3>\n<p>Healthier Together 2040 is a strategic initiative aimed at enhancing the health of individuals residing in Bristol, North Somerset, and South Gloucestershire by the year 2040.<\/p>\n<p>The plan first focuses upon the working-age population who are living with multiple long-term health conditions such as diabetes, chronic pain, and mental health issues, particularly those who are employed or providing care for others.<\/p>\n<p>This group, along with those at risk of joining this demographic, is an indicator of the current and future health needs which the health and care system will need to respond to. Without substantial redesign in collaboration with the public, the system will be unable to meet the increasing demand, leading to a decline in overall wellbeing.<\/p>\n<p>The approach includes the three national shifts moving healthcare closer to communities, using technology better, and focusing on prevention rather than just treatment.<\/p>\n<h3>About this population<\/h3>\n<p>There are about 5,300 people aged 20 to 64 in the area who have three or more long-term conditions from a short list of hypertension, diabetes, anxiety, depression, and chronic pain. This group is projected to grow by 50% in the next 15 years, under the assumptions of our local Dynamic Population Model.<\/p>\n<p>Most people in this group live in deprived areas and their ability to manage their health is significantly impacted by their living and working conditions. In addition to this cohort, there are 38,000 people in wider risk groups where there is a prevention opportunity to delay or prevent further deterioration in health. This cohort is at a higher risk of emergency hospital visits and long-term care needs which is an indicator that our healthcare system as it is currently set up is not proactively supporting people.<\/p>\n<h3>Literature review summary<\/h3>\n<p>The literature review examined current research on how to improve the quality of life for people with multiple long-term conditions. It found that poor mental health, social and economic challenges, and fragmented healthcare services are major obstacles.<\/p>\n<p>Addressing the wider and social determinants of health, such as poverty and job insecurity, is crucial to improving outcomes. Mental health problems, particularly anxiety and depression, are common among this group and make managing physical health more challenging.<\/p>\n<h3>Insights summary<\/h3>\n<p>People we spoke with reported feeling frustrated by the complexity of healthcare systems. They face challenges in accessing consistent, holistic care and often feel neglected or dismissed when trying to get help.<\/p>\n<p>Community support and flexible, personalised care models are essential. Addressing mental health needs alongside physical care and involvement of community networks and organisations were recognised as important and valuable strategies. Employers can play a key role by offering support for mental wellbeing and flexibility at work.<\/p>\n<h3>Design principles<\/h3>\n<p>Bringing together the evidence and insights led to a set of ten Design Principles developed to ensure that ideas generated in the next phases are based on solid evidence and informed insights:<\/p>\n<ol>\n<li>Recognise the Causes of the Causes: Solutions must address individuals&#8217; life contexts holistically, considering the wider determinants of health to prevent exacerbating health inequalities.<\/li>\n<li>Mental Wellbeing First: Enhancing mental health should be central to any care, as it plays a critical role in people\u2019s overall wellbeing.<\/li>\n<li>Physical Activity and Nutrition: Systematically focusing on physical activity and healthy dietary practices address key risk factors for this population cohort.<\/li>\n<li>Community-Based Proactive Clinical Models: Develop community-based clinical models that integrate specialist support and are rooted in people\u2019s holistic needs.<\/li>\n<li>A Core Value of Whole-Person Wellbeing: A shift to redesigning services to enable professional interactions rooted in building trusted relationships and addressing the causes of the causes.<\/li>\n<li>Supporting busy people, caring and working: Care models should recognise and respond to the unique needs of this population, including many multi-generational caregivers.<\/li>\n<li>Addressing Self-Worth and Feelings of Guilt: Approaches to condition management should actively address guilt, shame, self-worth and the impacts trauma has on positive health behaviours.<\/li>\n<li>Making VCSE Involvement Essential: Effective solutions should actively involve communities and Voluntary, Community, and Social Enterprise (VCSE) organisations as essential partners.<\/li>\n<li>Sustainable Funding for Community Initiatives: Funding arrangements for community-based organisations addressing broader health determinants should prioritise long-term investment and incorporate outcome monitoring.<\/li>\n<li>Workplaces are vital in health and keeping people in work: Workplaces can prevent poor physical and mental health, and some can be part of solutions.<\/li>\n<\/ol>\n      <a href=\"https:\/\/bnssghealthiertogether.org.uk\/library\/understanding-working-age-adults-affected-by-multiple-long-term-conditions-and-those-at-future-risk-healthier-together-2040\/\"  class=\"btn-link flex w-[fit-content] \">Read the full evidence review document<\/a>\n\n<h3><strong>What we did<\/strong><\/h3>\n<p>Over the summer of 2025, we used these Design Principles in a co-design process to develop strategic intentions for this group. We ran expert events, public focus groups, and an advisory group, using design methods throughout. The final strategic intentions were completed by early autumn 2025.<\/p>\n<p>This work also helped plan for three other groups: young people from preconception to 25 (including those at risk), around 3,000 people facing multiple disadvantages, and about 35,000 older adults over 75 with long-term health conditions.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_2.assembler_module_2..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>This page provides a summary of our Healthier Together 2040 evidence review, \u2018Understanding working-age adults affected by multiple long-term conditions and those at future risk\u2019.<\/p>","protected":false},"author":7,"featured_media":0,"parent":37639,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-39013","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/39013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=39013"}],"version-history":[{"count":18,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/39013\/revisions"}],"predecessor-version":[{"id":46037,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/39013\/revisions\/46037"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/37639"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=39013"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=39013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}