Post on 19-Jan-2016
Whole person care
Whole person care• Growth of specialist services• Coexisting conditions• Focus of secondary care, benefits of
community care providers• How are we doing?• National Audit Programme
National Audit of Schizophrenia(Google: NAS schizophrenia)
• Better than most in patient feedback, support for employment, access to crisis support, quality of prescribing
• Similar for access to psychological therapies
• Worse than most for physical health
Proportion reporting services helped them achieve good mental health
Monitoring smoking, weight, BP, glucose, lipids, in the past 12 months
Monitoring blood glucose
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
64 12 13 66 67 26 49 35 74 70 11 46 02 42 44 09 04 39 05 51 17 16 28 29 06 72 63 60 33 56 19 41 68TN
S 38 43 30 15 52 73 36 31 34 54 47 50 24 21 08 20 65 61 25 37 53 59 01 27 10 03 69 48 45 07 71
Source: Audit of practice tool
Status/ results recorded No record
Intervention for physical health
Physical health indicator
Service users requiring an intervention n (% of those
monitored)
Service users offered an
intervention n (% of those requiring it)
Smoking status 2,923 (59%) 1,724 (59%)
BMI>/= 25kg/m2 2,171 (74%) 1,531 (71%)
Blood glucose
control
1,309 (41%) 468 (36%)
Lipid levels 556 (17%) 165 (30%)
Blood pressure 648 (19%) 160 (25%)
Impact• Physical health of people with mental health
problems – premature mortality (19 years for men with psychosis, 18 for people with personality disorder)
• Mental health of people with physical health problems - reduced quality of life, poorer recovery, increased mortality
Whole person care?
• How to improve things?
• GPs and secondary care
• Role of a Trust that provides community services?
• Role of service users and carers?