This measure reports the directly standardised mean quality of life score (using the EQ-5D) by those reporting three or more long-term conditions.

The numerator is the sum of the weighted EQ-5D™ index values for all responses from people who identify themselves as having three or more long-term conditions.

The weighted count of responses from all people who identify themselves as having three or more long-term conditions: Σ𝑘 (𝑤𝑡_𝑛𝑒𝑤𝑘 ) where k = 1, …, p are respondents with three or more long-term conditions.

Directly age- and gender-standardised

10-year age bands from 18 - 24 to 85 and over Gender (Males and females) Ethnicity Sexual orientation Religion Deprivation deciles (from 1 – most deprived to 10 – least deprived)

GP Patient Survey (GPPS) from Ipsos MORI (www.gp-patient.co.uk) Survey of adults registered with a GP Practice in England. The GP Patient Survey is commissioned by NHS England and is conducted by the independent survey organisation Ipsos MORI. Patients are eligible for the survey if they have a valid NHS number and they have been registered with a GP in England continuously for six months or longer. Additionally, to reduce survey fatigue, patients are not to receive more than one GP Patient Survey in any 12-month period. The GP Patient Survey includes a weight for non-response bias. This adjusts the data to account for potential differences between the demographic profile of all eligible patients in a practice and the patients who actually complete the questionnaire. Incorporates age, gender, factors from area of residence (level of deprivation, ethnicity profile, ACORN classification).

digital.nhs.uk/data-and-information/publications/statistical/nhs-outcomes-framework

files.digital.nhs.uk/8F/335AC1/NHSOFDomain2_S.pdf

EQ-5D™ instrument. www.euroqol.org/fileadmin/userupload/Documenten/PDF/Crosswalk5L/EQ-5D™-5LCrosswalkmodel_and__methodology.pdf. EQ-5D™ is a registered trademark of EuroQol. Further details are available from www.euroqol.org.