This research was supported by the Health Education England (HEE) and National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula (NIHR CLAHRC South West Peninsula). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Patients with multimorbidity have poor health outcomes, high burden of care and can feel bewildered by their conditions, medications and the healthcare system. Managing patients with multimorbidity is a vital general practice role, yet GPs identify this as a deficit in their training.
There is currently no standardised approach for practicing or teaching clinical decision making around multimorbidity. NICE Guidelines on multimorbidity (2016) highlight objectives for managing patients, but offer little guidance about how to make decisions. We developed the SHERPA model (Sharing Evidence Routine for a Patient Centred Plan of Action) to address this gap.