NHS England release 'Improving physical healthcare for people living with severe mental illness (SMI) in primary care' Guidance for CCGs
On 7 February 2018, NHS England released
" This guidance highlights the responsibilities of CCGs to commission services that deliver comprehensive physical health assessments and follow up care to people on the severe mental illness register in primary care, addressing the premature mortality experienced by people with SMI compared to the general population.
People living with severe mental illness (SMI) face one of the greatest health inequality gaps in England. The life expectancy for people with SMI is 15–20 years lower than the general population. This disparity in health outcomes is partly due to physical health needs being overlooked. Smoking is the largest avoidable cause of premature death, with more than 40% of adults with SMI smoking. Individuals with SMI also have double the risk of obesity and diabetes, three times the risk of hypertension and metabolic syndrome, and five times the risk of dyslipidaemia
(imbalance of lipids in the bloodstream) than the general population.
Individuals living with SMI are not consistently being offered appropriate or timely physical health assessments despite their higher risk of poor physical health. They are not being supported to use available health information and advice or to take up tests and interventions that reduce the risk of preventable health conditions."
Improving Physical Health Outcomes for people with Mental Health Conditions
Monday 16 April
De Vere West One, London
8 February 2018