Public Health Wales is one of the 11 organisations which makes up NHS Wales. They are the national public health agency…
Contact Name: Brookie131264
Email: [email protected]
Address: Hergest Unit, Ysbyty Gwynedd, Bangor, LL57 2PW
Main topic area(s): Alcohol, Mental Health, Nutrition, Physical Activity, Sexual Health, Tobacco
Target Group(s): Working Age Adults
To proactively screen clients for physical illness
Ensure access to healthcare and preventative screening services
Promote greater liaison between primary and secondary care, specialist service provision, with regard to physical. mental care and the management of risk factors for CHD and diabetes
Target known risk factors and modifiable risk factors (smoking, diet, low activity levels)
Refer to other agencies post screening
Educate and ensure clients understand their illness and provide educational materials, refer to other agencies that provide education, for example diabetes education programme teaching sessions for GP Practices
Funding source(s): Welsh Government
Geographical setting/dimension of the project: A locality or community based project
Local Area: North Wales
Was the initiative in response to: Policy / Strategy
Does the initiative link with any policies: UK Policies, Wales Policies
There is strong evidence that suggests a close relationship between serious mental health problems and physical illness, such as CVD, Diabetes, respiratory disease, Stroke, HIV and some cancers. Including Higher rates of co- morbid illnesses and high mortality rates. The aim is to improve the physical health of adults with serious mental illness so their life expectancy is the same as a person without a mental illness. To reduce the rates of ill health so that the physical co-morbidity is no greater than for adults without mental illness. To develop strategies for disease prevention, improving the knowledge of staff who provide physical healthcare for people with mental illness in primary care. Create positive supportive links between primary and secondary care, provide education and support for primary care staff. To refer on to other agencies post screening, target modifiable risk factors, such as low activity levels, smoking, diet, obesity.
Together for MH
5 ways of wellbeing
Improving the physical health of adults with severe mental illness- essential actions OP100
The 5 year forward view for MH - Ind MH taskforce to NHS England 2016
Informed Delivery Method: Behaviour change theory, Literature review, Previous practice, Research findings or evaluation, Resources
Pilot Conducted: No
Beneficiaries Engaged: Beneficiaries were actively involved in the design of the project
Partner Collaboration: Community Groups / Organisations, Health Services, Voluntary Agencies, local health board
Methods / Tools: Qualitative, Quantitative
Methods / tools used for monitoring and evaluation:
National audit for schizophrenia has monitored the psychiatric notes of clients, specifically looking for evidence that physical health screening, advice, smoking status, weight, BMI of clients have been monitored.
In GP Surgeries, they receive QOF points for the physical health checks on clients on their MH registers.
No formal evaluation of the project has been done by the Trust.
Evaluated: Health outcomes
See Nat audit for Schizophrenia document.
Exit Strategy: No
Key Learning Points:
I am acutely aware that this service only exists in Gwynedd, I would like it to be rolled out across Wales, and expand the service to become a multidisciplinary one with more money for resources and with an electronic link between primary care and Mental Health services, ensuring the physical health needs of clients are met.
Currently I am undertaking a masters in Public health and health promotion and continuing to link in with other agencies and provide Teaching sessions to primary care staff and Dietitians, regarding the issues discussed previously and mental health.