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 priority.
UCLP-Primrose transforms the care for patients with SMI.
UCLP-Primrose helps teams to:
- Automatically Identify those at highest risk of dying early and 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 them with physical health and wellbeing goals.
It has 3 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 (e.g. BP and lipids)
- Materials and training for offering structured behaviour change interventions and peer support
It has 3 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 (e.g. BP and lipids)
- Materials and training for offering structured behaviour change interventions and peer support
How does UCLPartners-Primrose work?
Although no two patient’s journeys will look the same, the UCLP-Primrose framework map shows each of the steps in the pathway, and how a patient might move through the service.
Download the UCLP-Primrose Pathway Map
Patients will first be allocated to one of four priority groups, based on their risk of cardiovascular disease. They will then be invited for a physical health check and a clinical review. If they need further support to make changes to their physical health, they can work with trained staff to receive intensive health support.
For those patients who don’t respond to several invitations, a desktop review will be carried out by a mental health professional, to develop an engagement plan. The mental health professional will try to understand what the person may need in order to come in for their physical health check, which could be home outreach, liaison with secondary care services, or support from friends and family. Once the person is engaged, then they will again travel down the left-hand side of the pathway, first receiving a physical health check, then the clinical review, and so on.