We want to address the social and economic determinants of health in order to ensure longer, healthier lives for people with multiple long-term conditions

Why we focus on multiple long-term conditions

The circumstances of people living with multiple long-term conditions can mean they are more likely to have fewer healthy years than others. 

People who are Black, Asian or from a minority ethnic group are likely to be more at risk. And financial health, housing and work can all drive health inequity. These can contribute to people losing up to 15 healthy years.

We believe that by exploring which interventions can improve the social determinants of health, we can help people live in good health for longer.

Key facts about long-term health conditions


of Black residents live with two or more long-term health conditions, compared to 17% of their white neighbours

1 in 5

people in the most deprived neighbourhoods in our place live with multiple long-term conditions, compared to 1 in 10 in the least deprived

How we are addressing multiple long-term conditions

Overview of our programme

Our programme approach

The circumstances of people’s housing, finances and employment all have a role to play in promoting wellbeing.

Our ten-year programme therefore aims to inform the redesign of systems and the way the economy works to reset this health inequity.

Partnering with others

Become a partner

By working with organisations to address the social and economic determinants of health we can ensure longer, healthier lives for all people living in urban areas.

We aim to work with employers, policymakers, landlords and financial service providers to ensure the health inequity gap doesn’t widen.

This includes influencing national policy, addressing borough-wide issues, and partnering with others to layer activities at a neighbourhood level.

We are a member of the Taskforce on Multiple Conditions (Richmond Group of Charities). This cross-sector partnership allows us to influence national conversations on multiple long-term conditions and multi-morbidity. We are also supported by a committee of cross-sector experts who challenge and advise us on how to have the most impact.

Programme impact last financial year


in funding given to projects addressing the social determinants of health


organisations worked with


projects set up

Working with Impact on Urban Health means we can collectively tackle the causes of health inequities in our home in south London. We know that structural racism is one of the causes of this inequality, and our partnership allows us to make a real change in our borough.

Natalie Creary Programme Delivery Director, Black Thrive