Uplifting Heart Project - Gwynedd


Summary

It is a joint initiative between the psychiatric service and the Gwynedd Local Health board, funded by WG inequalities in Health. Designated Specialist nurse leads the project and conducts screening of clients with SMI diagnosis in Gwynedd.To raise awareness amongst professionals working with this population of the need to address and access healthcare and preventative screening services, the side effects of medication and lifestyle and health-related behaviour to maximise the health potential of clients.
  • About the project

    Contact Details

    Contact Name: Brookie131264
    Telephone: 01248384073
    Email: [email protected]
    Address: Hergest Unit, Ysbyty Gwynedd, Bangor, LL57 2PW


    The project

    Main topic area(s): Alcohol, Mental Health, Nutrition, Physical Activity, Sexual Health, Tobacco
    Target Group(s): Working Age Adults

  • Planning

    Activity Type/Topic

    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

    Aims and objectives

    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.

    Documents-

    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

  • Delivery

    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

  • Monitoring and Evaluation

    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

    Key Findings (Monitoring, research and evaluation)

    See Nat audit for Schizophrenia document.

  • Sustainability & Learning Points

    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. 

    Further Information:

    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.