Long term conditions​


The practice portal will be taken down over the next few months following the launch of the combined practice and staff intranet. 

For up to date information please register for the intranet. Details are available to practice staff via the GP bulletin.

Our integrated care health programme for long term conditions aims to improve the ‘care experience’ for Lambeth residents so they may live healthier and more independent lives. We aim to do this by coordinating systems and pathways more effectively – across physical, psychological and mental health - so that services fit around the needs of patients, rather than expecting patients to fit around the way our services are organised.

We are working to identify people’s care needs earlier and take action to avoid people being admitted to hospital unnecessarily.

More details about long terms conditions can be found on the Southwark and Lambeth Integrated Care (SLIC) website.

Useful links


NHS Confederation -  Mental Health Networks
Investing in emotional and psychological wellbeing for patients with long term conditions – A guide to service design and productivity improvements for commissioners, clinicians and managers in primary care, secondary care and mental health

 The King’s Fund
The management of long term conditions

Polypharmacy and medicines optimisation

Department of Health

Comorbidities - a framework of principles for system wide action

NHS England
The House of Care