mental health
Bringing-together-Kings-Fund-March-2016_1
Bringing-together-Kings-Fund-March-2016_1
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Bringing together physical and <strong>mental</strong> <strong>health</strong><br />
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of some anti-psychotic medications) is deemed to be the responsibility of the<br />
prescribing psychiatrist.<br />
Implementation of the physical <strong>health</strong> check protocol was facilitated by the creation<br />
of a digital template, alongside a training and engagement programme with nearly<br />
all the practices involved in delivering the checks. The digital template is the first<br />
of its kind and has been adapted to all of the major <strong>health</strong> care IT systems used in<br />
the local area. It provides a structure for consultation, prompts the care professional<br />
when an adverse result is recorded, and enables them to capture all key information<br />
very simply in one location. While there have been some delays communicating<br />
results between the systems used by different providers, the template has been well<br />
received and its usage has been consistently high. The digital template has been<br />
made available to the rest of the NHS and has been promoted by NHS England.<br />
Key enablers<br />
••<br />
The project team in Bradford visited 65 out of 80 practices before the <strong>health</strong> checks<br />
went live in primary care, offering half-hour sessions in practices to cover the case<br />
for change, how to use the template, and how to embed it into workflows.<br />
••<br />
In inpatient and community <strong>mental</strong> <strong>health</strong> care settings, the team provided<br />
training on how to carry out the specific tests required (blood tests, blood pressure,<br />
height, weight and temperature measurements) alongside a scenario-based training<br />
programme to improve <strong>mental</strong> <strong>health</strong> professionals’ understanding of how to<br />
respond to an emergency medical problem in psychiatric settings.<br />
••<br />
Commissioners supported implementation of the protocol by making available<br />
some project funding for the core team, and incentivising local providers to<br />
complete checks through a locally agreed Commissioning for Quality and<br />
Innovation (CQUIN) payment.<br />
Further information<br />
••<br />
Kate Dale, Mental Health Nurse and Physical Health Project Lead for Bradford<br />
District Care NHS Foundation Trust. Email: Kate.Dale@bdct.nhs.uk<br />
• • Dr Angela Moulson, GP and Clinical Specialist Lead for Adult Mental Health and<br />
LD for Bradford City and Districts CCGs. Email: angela.moulson@bradford.nhs.uk<br />
Appendices: case study site profiles 93