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CPD – Case-based: Multimorbidity

Learning Objectives

  • The definition of multimorbidity 
  • How to use a multimorbidity approach when seeing patients 
  • The use of tools to assess frailty
  • The use of the STOPP/START tool and the 7-steps medication review to assess patients who are affected by polypharmacy


Dr Toni Hazell is a GP in north London

Case Study 1 – Dr. F

You are a GP in your first job since finishing your VTS – you have been working in your current practice for six months and it is your turn to present at the monthly clinical meeting. You have been asked to cover the subject of multimorbidity, something that you don’t consider yourself to be an expert on. Keen to impress, you decide to go back to basics and look at what sort of conditions can be included in the NICE definition of ‘the presence of two or more long-term health conditions’.

Which of the following would count as a long-term health condition for the purposes of NICE’s definition of multimorbidity?


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