Physical health monitoring in individuals with severe mental illness: an audit in general practice in North London

Roberts, Danielle A. and Mwebe, Herbert ORCID logoORCID: (2020) Physical health monitoring in individuals with severe mental illness: an audit in general practice in North London. Work Based Learning e-Journal International, 9 (2b) . pp. 1-21. ISSN 2044-7868 [Article]

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Poor physical health is common in people with Severe Mental Illness (SMI). Two-thirds of deaths in SMI could be avoided if patients are offered prompt physical health screening for known risk factors. We aimed to identify SMI patients registered at a General Practice and audit their care in relation to physical health monitoring. We included adult patients with coded diagnoses of SMI. We selected 18 best practice criteria for physical health monitoring, based on Quality and Outcomes Framework (QOF) indicators for mental health, NICE guidelines and other professional guidance. Data was obtained from electronic patient records and examined over a 12-month period. Only 5 out of 18 best practice criteria achieved compliance above the expected standard of 70% (annual record of blood pressure, smoking, alcohol, medication review, prescription on repeat template). Care planning achieved 69%; and most of the remaining parameters (pulse, BMI, weight, QRISK2, serum lipids, glucose, dietary advice, physical activity, drug use) reached levels around 50-60%. Particularly low compliance (<40%) was found for ECG, pregnancy/contraception advice and medication side-effects. There is definite room for improvement regarding physical health monitoring of SMI patients within general practice. We recommend increased attention to annual physical health checks, particularly cardiovascular risk factors, and the consistent offer of targeted interventions. Organisational financial incentives are also effective at increasing compliance results.

Item Type: Article
Sustainable Development Goals:
Keywords (uncontrolled): severe mental illness, physical health monitoring, general practice, mental health professionals, cardiometabolic risk
Research Areas: A. > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
A. > Work and Learning Research Centre
Item ID: 31881
Notes on copyright: The Work Based Learning e-Journal International is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the DOAJ definition of open access.
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Depositing User: Carol Costley
Date Deposited: 02 Feb 2021 22:13
Last Modified: 24 May 2022 10:30

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