Delivering and evaluating services


 Recommended actions to take

  • Support high-quality – early detection – screening and interventions for risk factors of cardio metabolic disease, linking to a range of community health promotions and wellbeing resources.
  • Carry out the recommended physical health assessments for people on the serious mental illness (SMI) register, in line with national guidance:
    • Comprehensive cardio-metabolic risk assessment in line with the NHS health check
    • Where indicated, deliver or follow up relevant national screening programmes
    • Medicine reconciliation and monitoring
    • General physical health enquiry
  • Implement standardised screening tools for SMI population (e.g. Bradford template) across primary care information technology (IT) system.

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