Interventions to improve practice

Effective models of integrated care for multimorbidity

Implementing the New NICE Quality Standard & Guidelines

Talbot Hotel, Stillorgan
(Formerly Stillorgan Park Hotel)

Date: Wednesday 25th April 2018

More people than ever are living with more than one long term health condition. In fact, most people with any chronic condition and most of those over 65 have multiple health conditions. In many ways multimorbidity is the price of success and advances in our health services, meaning people are living longer and surviving events such as heart attacks or strokes. This success creates a set of new challenges. Some people need extra care that takes into account all their different complex health conditions.

CMG events typically sell out quickly, so prompt booking is strongly advised to secure your place at the Early Bird Rate of €345.00 + VAT (Normal rate €445.00 + VAT)

Please note the early bird discount can close sooner than expected once a certain amount of seats fill up, therefore your prompt booking is strongly advised to avoid disappointment.

Book your place now!

The NICE Quality Standards for Multiorbidity was published In June 2017. Care for people with Multimorbidity is complicated because of the different conditions and their treatment often interacts in complex ways. Over the next 10 years the number of people living with one or more serious long term condition will increase significantly.

Combined with the current ageing population, the increased prevalence of long-term conditions having significant impact on health and social care; recognition of the challenges posed by multimorbidity is gradually increasing but there is still a long way to go to ensure the health system responds adequately to the needs of this growing patient group.

This is a must attend event for all professionals working in Irelands healthcare services and in particular those caring for patients with multiple health conditions.

Full Day Programme 8.50am to 4pm

HSE Integrated Care Programme for the Prevention of Chronic Disease
Speakers: Orlaith Reilly & David Hanlon

Improving Medicines management for Multimorbidity
Speaker: Cynthia Boyd MD, MPH, Professor of Medicine, Division of Geriatric Medicine and Gerontology, Centre for Transformative Geriatric Research, Department of Medicine, Johns Hopkins University School of Medicine, USA

  • Identifying people taking multiple combinations of drugs for more than one long term condition
  • Medicines optimisation, review and management
  • Reducing side effects for individuals taking multiple medications
  • Deprescribing

Multimorbidity & General Practice
Speaker: Professor Susan Smith, RCSI

  • Improving outcomes for people with multiple Chronic conditions
  • Co-Morbidity Vs Multimorbidity
  • Prevalence
  • Polypharmacy
  • Medicine Management
  • Case Studies – GP’s & Pharmacists
  • Next steps needed
  • Cochrane Review results
  • Support in primary care
  • BMJ Clinical review
  • Applying Clinical guidance
  • Nice Guidance
  • Deprivation & Mental Health

How can we improve management of multimorbidity in general practice?
Speaker: Prof Chris Salisbury, Professor Chris Salisbury, Professor of Primary Health Care, Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, University of Bristol

  • What problems are experienced by patients with multimorbidity? How do they represent a challenge for health services?
  • There is consensus from international guidelines about the need for a new and more patient-centred model – but there isn’t any evidence so far about whether this will be effective for patients, how much work it will generate for health services, or whether it will be cost-effective
  • The 3D approach was designed using a patient centred care model and incorporates all of the strategies recommended in international guidelines
  • We have evaluated the 3D approach in the largest ever randomised controlled trial comparing different ways of managing multimorbidity.
  • This talk will highlight the importance of evaluating the costs and benefits of evaluating any new approach to health care, using the 3D trial as an example.

Managing multimorbidity in high deprivation areas
Speaker: Stewart Mercer, Professor of Primary Care Research, University of Glasgow

  • What age brackets are we seeing Multimorbidity starting at?
  • What do the invers care laws mean
  • What has the CARE Plus study has shown?

The interplay between mental illness and chronic physical disease
Speaker: Caroline Jackson, Chancellor’s Fellow, University of Edinburgh

  • Using routine data to improve physical health in people with mental illness
  • Key physical chronic diseases are more common in people with severe mental illness, but in some settings the gap may have narrowed over time (presenting 25-year trends in risk of stroke, MI and diabetes in people with and without major mental disorders in Scotland, by sex and area-based deprivation)
  • The effect of co-morbid major mental disorder on outcomes/complications of key physical diseases is unclear, with few studies in this area
  • Presentation of CSO-funded project examining effect of co-morbid major mental disorder on outcomes/complications of diabetes, stroke and MI (with presentation of preliminary findings on risk of diabetes outcomes and quality of health care between those with and without mental disorder)

Irish Context – Prevalence & Patterns
Speaker: Olga Cleary, HSE

  • Outline of the current challenges in measuring multimorbidity and assessing its prevalence
  • Summary of the prevalence of multimorbidity in Ireland based on first wave data from the Irish Longitudinal Study on Ageing.
  • Non-random patterns of multimorbidity in Ireland based on first wave data from the Irish Longitudinal Study on Ageing

Improving appropriate polypharmacy in multimorbidity: a challenging balancing act
Speaker: Dr. Cathal Cadogan, Lecturer in Pharmacy Practice, Royal College of Surgeons in Ireland

  • Challenges of medication prescribing in patients with multimorbidity (age-related physiological changes, applying evidence-based prescribing guidelines, polypharmacy, potentially inappropriate prescribing)
  • Polypharmacy, appropriate polypharmacy, inappropriate/problematic polypharmacy
  • Tools to improve appropriate prescribing (middle-aged and older populations)
  • Interventions to improve prescribing of appropriate polypharmacy: current evidence base
  • Steps towards improving the current evidence base (relevant methodological tools and frameworks relating to intervention development/evaluation and intervention reporting)

OPTIMAL, a self-management programme for people with multimorbidity
Speaker: Deirdre Connolly, Associate Professor of Occupational Therapy, Trinity College Dublin

  • MM affects quality of life, functional capacity and ability to engage in work or education.
  • People with MM are more concerned about the impact of mutlimorbidity on their daily lives than the symptoms of their mutlimorbidity
  • Interventions are required to decrease the social, physical and psychological consequences of MM
  • Discussion on interventions to target specific risk factors such as depression and reduced functional performance/capacity
  • Findings from a six-week self-management programme, OPTIMAL, presented

Non Adherence to Medication -in a Multimorbid Cohort; Prevalence, Problems and Solutions
Speaker: Dr. Peter Hayes, GP & Lecturer in Primary Care, NUIG

  • Description of a typical  multi-morbid cohort and the complexities therein ( bulk/prevalence of various disease, age profiles , medication dosing issues , typical dosing patterns and the risk of side effect, and hospitalisation rates).
  • Non-Adherence to Medications in a multi-morbid cohort. We have assessed this 3 ways and we will discuss the results in detail.
  • Solutions to help improve Adherence.

MDT and integrated care for multi-morbidity. Rhetoric to reality
Speaker: Mr. PJ Harnett (RMN, MSc, MBS) National Programme Manager Integrated Care Programme Older Persons

  • Critical attributes of systemic change
  • Adopting a framework approach
  • Role and impact of MDTs in delivering integrated care for older persons
  • Lessons for health system transformation

There will be 6 structured CPD points awarded to all attendees at this conference from the CPD certification service

This event will be of real interest to all healthcare professionals who deal with patients who have multiple health issues such as nurses, GPs, consultants, directors of nursing, specialist carers, managers, pharmacists.

Talbot Hotel (Formerly Stillorgan Park Hotel)

EARLY BIRD RATE €345 + VAT per Person – (Closing Friday 15th December) Normal Rate @ €445 + VAT.

Please note the early bird discount can close sooner than expected once a certain amount of seats fill up, therefore your prompt booking is strongly advised to avoid disappointment

CMG Events Conference Discount

  • 15% discount for the third delegate booked or subsequent bookings thereafter from the same company.

The rate to attend includes morning tea/coffee and refreshments on arrival at registration, mid-morning tea/coffee and pastries and full buffet lunch. You will receive the speakers PowerPoint presentations within 24 hours after the event. 

Tel: 01 293 4764


   Telephone:+353 1 2933650

Early Bird Rate of €345.00 + VAT (Normal rate €445.00 + VAT)

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Terms and Conditions:
Payment for attendance is due within seven days from the date of invoice. This booking is transferable and a substitute attendee may attend on your behalf at no additional cost if you cannot attend. Cancellation of a booking must be received by CMG Events in writing by email or by post, no later than 14 days prior to the event date. Regrettably no cancelations or refunds can be made after this date. In the case of a refund – an administration charge of 25% plus VAT will be deducted before a refund is made. CMG Events reserve the right to make any necessary changes to the advertised programme including a change of venue. The views expressed by the speakers are not necessarily those held by the organisers, nor is the organiser responsible for speakers opinions or statements. Please note CMG Events will distribute the delegate list to all registered attendees prior to the conference for networking purposes. However, in keeping with current data protection and privacy legislation, the distributed delegate list will not contain telephone or email contact details. Please advise CMG Events if you would like to have your name removed from this networking list for this event. We do not sell your data to a third party - we may use your contact details for the purposes of notifying you of other conferences or training courses that we run. If you do not wish for us to contact you again, please let us know by emailing

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