What is UCLPartners-Primrose?
Patients with severe mental illness (SMI) die 10-20 years early often because they do not receive the care they need. This inequality is an NHS and Integrated Care System (ICS) priority.
UCLP-Primrose transforms the care for people with Severe Mental Illness.
The package enables your team to:
- Automatically identify those at highest risk of dying early and to provide evidence-based care.
- Identify those who are not engaged with care and offer outreach physical and mental health support.
- Provide behaviour change interventions which improve mental health and support with physical health and wellbeing goals.
It has three simple components:
- Risk stratification and search tools – to identify patients at highest risk or not engaged with care.
- Materials to improve the SMI physical health check including clinical review to best treat the most important risk factors (eg BP and lipids).
- Materials and training for offering structured behaviour change interventions and peer support.
Implications for patients
- Patients are offered a thorough annual review of their physical health, including a medication review. They will also be offered appointments to work on health goals, including peer support where available.
Implications for clinicians
- The risk stratification tool will automatically stratify clinical caseloads by patients’ physical health risk.
- Patients who need additional support to attend the health check will also be identified in the framework.
- Through our comprehensive training package, clinicians will be offered training in communication skills and behaviour change techniques to support patients to make and keep their health goals.
Implications for systems
- Automatic search tools will identify those with long term conditions in order to optimise their care.
- There will be the opportunity to increase the proportion of patients with SMI having a health check.
- Behaviour change interventions are proven to improve patients’ mental health, including reduced likelihood of admission, with savings in the cost of care across systems.