The impact on Physical Health when prescribing atypical antipsychotics: what is it and does it matter?

These meetings are intended for UK Healthcare Professionals and have been developed in accordance with the ABPI Code of Practice.

PM Healthcare events are Quality Assured by the University of Bradford 

     

Satellite The impact on Physical Health when prescribing atypical antipsychotics: what is it and does it matter?
Speakers Kate Dale (Mental Health / Physical Health Project Lead, Bradford District Care NHS Foundation Trust)
Satellite Description

The National Institute for Health and Clinical Excellence (NICE) recommends annual physical health checks for people with serious mental illness (SMI). Evidence shows that people with SMI die up to twenty years younger than the average population. Preventable cardiovascular disease (CVD) is the major cause of death, along with endocrine disease and respiratory failure. Evidence also suggests that these individuals receive a lesser standard of health promotion and physical health care. Awareness of this and national guidelines have not reduced early mortality.

Bradford District Care NHS Foundation Trust (BDCFT) believe we have successfully developed and implemented a physical health check data entry template for those people with SMI to access an appropriate physical health check both in primary and secondary care to include sharing the care and improving communication. (BDCFT) with support from The Academic Health Science Network (AHSN) Yorkshire & Humber are continuing to work on this project to spread this work regionally and nationally.

The template is now accessible nationally for all GPs and Practice Nurses who access either EMIS or SystmOne. We have successfully replicated the template for RIO the IT Clinical system used in secondary care within BDCFT. Clinicians are now completing the template when carrying out physical health checks for both community patients and inpatients, this has also supported the CQUIN targets successfully. 

It is believed that this standardised systematic approach demonstrates service improvement and will target primary prevention of the cardiovascular high risk group with SMI. This will reduce the existing health inequality of premature death, in line with “The Lester Tool” and NICE. There is a robust monitoring process running quarterly reports centrally to gain detailed outcome data in primary care and more recently in secondary care within RIO IT system.

 

Anticipated learning outcomes:

1)      Understanding why people with serious mental illness (SMI) are dying prematurely from preventable physical ill health. Understanding the importance of improving the quality of the physical health check for people with severe mental illness (SMI).

2)      Having an understanding of the benefits to quality of life and health outcomes that have been highlighted through the work within this project both locally and nationally.

3)      See the benefits through shared care in both primary and secondary care can have in helping to improve the physical health of patients with SMI, to include effective communication

4)      Best practice ideas of how to approach the subject of physical health with patients with SMI and engaging with them to help improve outcomes.

5)      Understanding training implications for both primary and secondary care.

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