Improving physical health care in people with severe and enduring mental illness

ContactOxleas NHS Foundation Trust
AddressQueen Elizabeth Hospital, Stadium Road, Woolwich, London, SE18 4QH

Oxleas NHS Foundation TrustThis project led by Oxleas NHS Foundation Trust set out to improve the physical health of people with severe and enduring mental illness.

The project involved various steps:

  1. Reconciling psychiatric services and GP records of mental and physical health problems in patients with severe and enduring mental illness. After an audit it was found there were many inconsistencies between data on GP registers and trust data. As a result several good practice measures were introduced such as regular checks with GP’s, rapidly conveying information changes and sharing of blood results.
  2. GP Master classes. A series of free master classes are run by the trust so that GP’s can get updates on latest evidence based best practice, share information about new pathways and gain knowledge on common conditions.
  3. CQUIN (Commissioning for Quality and Innovation) – was introduced on inpatient wards to incentives information sharing and physical health check
  4. GP Feedback Form – to request up to date physical health information for inpatients
  5. CPA (Care Programme Approach) review letters – includes information on mental health condition but also physical health
  6. POMH-UK (Prescribing Observatory for Mental Health) quality improvement programmes – introducing screening for metabolic side effects of antipsychotics
  7. Use of the GASS (Glasgow Antipsychotic Side-effect Scale) by Team as part of antipsychotic side-effect monitoring:
  8. Physical Health Clinic – a weekly physical health clinic that is mainly nurse-led and open to all users of the service. Clients are invited at least once a year to attend. Results are fed back to primary care. BP, pulse, BMI measurement, Temperature, Peak Flow and random finger-prick glucose estimation are checked.
  9. Promoting Healthy Living Through Groups – To get those with a serious mental illness back into mainstream groups e.g. football groups and other activities.

To achieve this Oxleas needed various groups to work together including: Trust departments and committee’s, IT, Quality and Audit, the Clinical Effectiveness Group, Learning and Knowledge, the Medical Advisory Committee, Directorate-based Service Development Forums, Pharmacy, Business Analytics and GP’s.