SMI PHYSICAL HEALTH CHECKS

SEVERE MENTAL ILLNESS

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WHAT IS THE AIM

DELIVERY OF A LOCAL ENHANCED SERVICE (LES)

Our aim is to provide each primary care centre with enhanced payments for patients who annually receive the required elements of the SMI physical health check. We aim to ensure a person-centered service that people with SMI feel comfortable, confident, and able to engage with.

The intervention we have developed will achieve the educational and support objectives set out to support the delivery of the LES.

COURSE DETAILS

WHY HEALTH CHECKS ARE IMPORTANT

It is recommended that people with severe mental illness (SMI) receive a physical health check at least once a year. This is because life expectancy in this group is reduced by up to 25 years. The major cause of death is cardiovascular disease caused by a combination of smoking, unhealthy diets, lack of exercise and weight gain. Some of the antipsychotic medications used to treat patients with SMI have been implicated in raising this risk. Many other physical conditions are also prevalent in this group. Additionally, people with SMI who are at high risk of self-neglect have the highest excess mortality. The free health check enables people to identify and address any issues; ensuring they have better health, wellbeing and quality of life.

SYSTMONE TRAINING

There are three elements to SystmOne SMI Annual Health Check Training. Clinicians will need to attend two sessions, and one training session for administrators.

SystmOne Training Hub

REQUIREMENTS

SMI PHYSICAL HEALTH CHECK

Health services have a legal obligation to make reasonable adjustments to ensure that people with SMI are not disadvantaged compared with the general population in accessing healthcare. In an attempt to tackle this disparity. Targets were set in the Mental Health Five Year Forward View, and subsequent Long-Term Plan to ensure that at least 60% of people with SMI receive an annual physical health check. This annual standard will be raised to 80% by 2023-24.

The previous requirement for primary care staff to complete six elements of a health check has now increased to twelve:

1. BMI/ Waist Circumference

2. Blood pressure & pulse check

3. Blood lipid including cholesterol

4. Blood glucose test

5. Assessment of alcohol use

6. Assessment of smoking status

7. Assessment of nutritional status, diet and level of physical activity

8. An assessment of use of illicit substance/non prescribed drugs

9. Access to relevant national screenings

10. Medicines reconciliation and review

11. General physical health enquiry into sexual health and oral health

12. Indicated follow-up interventions

EMIS TRAINING

There are two elements to EMIS SMI Annual Health Check Training. Clinicians will need to attend two sessions, and one training session for administrators.

EMIS Training Hub
Our Focus | Wellbeing Organisation Research Training Hub

COURSE CONTENT

WHAT AREAS WILL BE COVEREDĀ 

This Training program includes a three-hour module It has been written by a nurse expert in the subject and focuses on preparing primary care practices to offer health checks for people with SMI. The need for follow up and support after the initial health check is emphasised. It is hoped that participants will feel inspired and encouraged to take on the responsibility, and that any negative attitudes are dispelled. The specific objectives are for the participant to:

  • Understand how a person is affected by severe mental illness
  • Know how to work with a person with severe mental illness
  • Recognise relapse in mental health
  • Be aware of the physical health issues in severe mental illness
  • Consider how to make appointments accessible
  • Be able to monitor physical health in severe mental illness
  • Appreciate the importance of supporting behavior change

The training will be delivered by nurses and nurse practitioners in the county who have been trained to deliver the sessions. These could be in a classroom setting, in their practice or virtually.

Our Focus | Wellbeing Organisation Research Training Hub

TPP CLINICIAN TRAINING

SYSTMONE ADMIN TRAINING

USEFUL VIDEOS

HEALTHCARE PROFESSIONALS

PATIENT OPINION

INCENTIVE SCHEME

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