“People living with Severe Mental Illness (SMI) face one of the greatest health inequality gaps in England. The life expectancy for people with SMI is 15–20 years lower than the general population. This disparity in health outcomes is partly due to physical health needs being overlooked.” (NHS England, 2018)
To reduce this inequality the national ambition identified in the Government's Five Year Forward View is to ensure 280,000 people, or at least 60% of people on the primary care SMI register are receiving a full annual physical health check in 2018/19, which for North East Hampshire and Farnham equates to 988 people.
Such health checks are designed to look at six domains: Smoking, Lifestyle, Body Mass Index (BMI), Blood pressure, Glucose regulation, and Blood lipids.
The ‘Bradford Physical Health Review Template’ is a standardised physical health template, and an associated package of training, that was developed by Bradford District Care Foundation Trust.
Yorkshire and Humber AHSN piloted the template and we are now supporting its spread and adoption across North East Hampshire and Farnham CCG. We will be working alongside the CCG to evaluate the impact.
The template aims to improve the quality of health assessments and reduce the variability of care for people with SMI. It supports healthcare professionals by systematically guiding them through appropriate physical health checks to support the diagnosis of conditions and identify the need for appropriate interventions to achieve improved physical health and wellbeing.
Training is being delivered by the Bradford District Care Foundation Trust’s Physical Health Project Lead, Kate Dale; who also developed the template.
Kate commenced training in NEH&F in May 2018.