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Financial foundations for adult health

Why we are changing our name to financial foundations for adult health

3 February 2025
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4 min read

The multiple long-terms conditions (MLTC) programme will now be known as the financial foundations for adult health (FFAH) programme.

Why we are changing our name

The multiple long-terms conditions (MLTC) programme will now be known as the financial foundations for adult health (FFAH) programme.

Our long-term programme began in 2017 with a clinical focus on how and why people develop multiple long-term health conditions (MLTCs) in adulthood and how this could be prevented.

However, our work has taught us that much of what contributes to good health sits outside of the clinical system–the homes people live in, where they work, and ultimately, the financial security needed for good physical and mental health.

In the years since the programme began, and through the pandemic, we have seen how racist and unequal systems and structures trap people from minoritised communities in poverty and ill-health. We know that in order to change these systems, we have to work closely with communities, local organisations, and decision-makers to make an impact.

To reach everyone who has a part to play in our mission, we need a name that reflects our work. Therefore, the programme will now be known as the financial foundations for adult health.

How did we decide on the new name?

The programme has been on a journey to explore how we can enable better health and achieve health equity.

The multiple long term conditions programme began by funding initiatives that focused on preventing ill-heath and reducing the number of people living with multiple long-term conditions. This work looked at how available healthcare services could be better coordinated and have more impact.

We funded research that investigated the prevalence and distribution of multiple long term conditions in cities, and what patterns were present in the data. It confirmed strong links between the local communities’ health and poverty and inequality in Lambeth & Southwark, showing marked differences in health outcomes by socio-economic status, ethnicity and gender.

With this in mind, we decided not to focus on preventative healthcare initiatives, and instead look at the factors that contribute to ill-health outside the NHS – the social determinants of health.

Three clear areas emerged as priorities: people’s homes, their jobs, and their finances.

The impact of the pandemic in highlighting racial equity

When the Covid-19 pandemic hit in March 2020, it soon became clear that this health crisis was having more impact on some groups that others.

Black and minoritised people were dying at higher rates than their white counterparts, with their overall health and wellbeing also worse affected. These communities were also more likely to be financially vulnerable, with less savings and fewer resources to overcome the effects of the pandemic shutdown.

The pandemic confirmed for us the integral role that racial equity, especially in cities, plays in health.  By 2021, the multiple long term conditions programme restarted projects that had been delayed by the pandemic and contended with what the rising cost of living meant for our partners and the people they support.

Refining our programme focus

Insights from our programmatic strands in housing, work, and finances were pointing in the same direction, towards the need for financial security to enable good health.

We want to transform the systems that keep people in poverty and ill-health, working with communities to develop initiatives for community wealth-building and health that are accessible and centred around the concerns of local people.

Our new programme name, the financial foundations for adult health, reflects what we have learned, as well as our aims for the future.

Read our new programme strategy.