Physical health care bundle for people with long-term mental health needs

North West LondonCardiovascular, Metabolic and Endocrine
Start Date: 1 Apr 2015 End Date: 1 Oct 2015

Central and Northwest London NHS Foundation Trust Shine Project: Physical health care bundle for people with long-term mental health needs 

Project aim

A partnership established with Central North West London NHS Foundation Trust (CNWL) supporting the Health Foundation funded project (SHINE). The aim is to reduce cardiovascular and diabetes disease risk for people with Severe and Enduring Mental Health (SEMI) problems on an inpatient ward and a linked community team by increasing the number of physical health assessments and interventions via single assessment process and a patient held physical health care record.

People with long term mental health needs (SEMI) have poor physical health outcomes resulting in a significantly increased prevalence of long term chronic physical health problems and reduction in life expectancy of between 15 and 20 years.  Regular monitoring of physical health and the provision of routine interventions are often inconsistent or not done at all for this group. The Schizophrenia Commission report (“The Abandoned Illness”, 2012) recommended “a programme of physical health monitoring and management integrated with the better prescribing and management of antipsychotic medication”.

Outcome & Impact statement

Please provide a narrative about the significance of your outputs and impact

The project is aiming to increase the following:

  • Percentage of patients admitted each week that received a physical healthcare assessment
  • Percentage of patients that received a physical healthcare assessment where the smoking status was documented
  •  Percentage of patients that received a physical healthcare assessment where the BMI was documented
  • Percentage of patients that received a physical healthcare assessment where the systolic blood pressure was documented

It is anticipated this project will improve cardio vascular and diabetes disease risk indicators of about  250 patients a year using the assessment on the ward.

An assessment of the number of service users to benefit in the community team is not yet available as the design of the dissemination of the intervention into the team is currently being developed.

What happened next?

There has been a spread of the patient held Physical Health Record to the Let’s Get Physical Team in the Metro North Mental Health Service in Brisbane, Australia who are planning to adapt the it for use in their service and we anticipate more collaboration and dissemination of ideas and interventions over time.

Contact 
Dr Bill Tiplady