King’s College Hospital NHS Foundation Trust

Integrating mental, physical and social care in long-term conditions


Common mental health disorders are more prevalent in people with long-term conditions such as diabetes, cardiovascular disease and COPD. Though these conditions require significant self-management, there is no integrated psychological or social care for these patients. Treating psychiatric co-morbidities has been shown to reduce morbidity and mortality in people with long-term conditions.

The 3 Dimensions for Long Term Conditions (3DLC) project aims to scale up a successful diabetes programme called 3 Dimensions of Care for Diabetes (3DCD), which effectively integrated psychological and social support with diabetes services.  This initiative demonstrated clinically significant improvements in glycaemic control, depression, anxiety, social outcomes and, subsequently, leading to significant financial savings.

3DLC will scale this up by integrating medical, psychological and social care for people in Lambeth and Southwark who have other long-term conditions and mental health problems, which is impacting self-management.

Led by King’s and working with Guy’s and St Thomas’ NHS Foundation Trust and South Maudsley NHS Foundation Trust, the team will work with staff and patients to develop care pathways that focus initially on the three long-term conditions of heart failure, hypertension and COPD.

The project aims to demonstrate that integrated care can improve outcomes, mental health, quality of life and social functioning.

Find out more about the project