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The pandemic and consequent development of Long COVID required rapid adaptation of health services to address the population\u2019s needs, requiring service redesigns including integrated care. This Delphi consensus study was conducted in the UK and found similar integrated care priorities for Long COVID and complex, multiple long term conditions, provided by 480 patients and health care providers, with an 80% consensus rate. The resultant recommendations were based on more than 1400 responses from survey participants and were supported by patients, health care professionals, and by patient charities. Participants identified the need to allocate resources to: support integrated care, provide access to care and treatments that work, provide diagnostic procedures that support the personalization of treatment in an integrated care environment, and enable structural consultation between primary and specialist care settings including physical and mental health care. Based on the findings we propose a model for delivering integrated care by a multidisciplinary team to people with complex multisystem conditions. These recommendations can inform improvements to integrated care for complex, multiple long term conditions and Long COVID at international level.<\/jats:p>","DOI":"10.1038\/s41598-024-64060-1","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T06:06:23Z","timestamp":1718258783000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Integrated care policy recommendations for complex multisystem long term conditions and long COVID"],"prefix":"10.1038","volume":"14","author":[{"given":"Christina M.","family":"van der Feltz-Cornelis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Sweetman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fidan","family":"Turk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Allsopp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Gabbay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamlesh","family":"Khunti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nefyn","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh","family":"Montgomery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Heightman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory Y. 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This work is independent research funded as part of the STIMULATE-ICP study. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Unless otherwise stated, funding for this project was paid to author institutions. In addition, GA has held leadership roles with the Royal College of General Practitioners and National Institute for Health and Care Excellence during the timeframe of the STIMULATE-ICP Delphi project. MG has had recent or current involvement with NIHR and UKRI research grants. MG has been involved in SDL learning as academic director (payment to institution) and as a tutor (payment to MG). He has been appointed as faculty provost for the Royal College of General Practitioners and has small holdings from demutualization with Lloyds bank, ABRDN and Aviva. MG is part-funded by NIHR applied Research Collaboration North West Coast. KK is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration East Midlands (ARC EM) and the NIHR Leicester Biomedical Research Centre (BRC). KK is Chair of UKRI\/NIHR Long-Covid studies and reports to the Chief Medical Officer. NW is Deputy chair of NIHR HTA Programme Funding Committee for commissioned research and is a GP partner in Plas Menai Health Centre, Llanfairfechan. HM has received consultation fees from Astra Zeneca and has participated on a Data Safety Monitoring Board or Advisory Board relating to prevention and treatment of COVID-19 (not Long COVID issues specifically), and has received consultation fees from Axcella Therapeutics relating to a possible new Long COVID therapeutic. HM has also received payment from the Law Society for Education on Long COVID. MH is National Specialty Advisor for Long Covid,\u00a0NHS\u00a0England. As\u00a0PPI\u00a0members of STIMULATE-ICP, AL and LH have received funding from NIHR\u00a0(COV-LT2-0043)\u00a0for reimbursement for attendance and travel for research meetings. AB is the Chief Investigator of the STIMULATE-ICP (COV-LT2-0043) and is part of the BigData@Heart Consortium, funded by the Innovative Medicines Initiative-2 Joint Undertaking under grant agreement No. 116074. This Joint Undertaking receives support from the European Union\u2019s Horizon 2020 research and innovation programme and EFPIA; it is chaired, by DE Grobbee and SD Anker, partnering with 20 academic and industry partners and ESC. In addition, AB has had recent or current involvement with NIHR, BMA, Astra Zeneca and UKRI research grants. AB is an unpaid Trustee for the South Asian Health Foundation. CFC has had recent or current involvement with grants from the BMA (CANDO Study), EU Horizon (EMPOWER Study), the Netherlands Organisation for Health Research and Development (Regional systems intervention for suicide prevention (SUPREMOCOL) in Noord -Brabant, the Netherlands), and NIHR HS&DR (Frequent Users of the Emergency Department: Improving and Standardising Services-a mixed methods study). CFC has received royalties for books on Psychiatry, an honorarium payment related to a lecture at the Big Questions in Neuroscience Annual meeting from Janssen UK, and has received travel and accommodation in the UK for a lecture from The Lloyd Register Foundation. All other authors have no conflicts of interest to report.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"13634"}}