Overview
Some premature deaths can be attributed to gaps in treatment such as patients with severe mental illness (SMI) not receiving care for long-term physical health conditions. People with SMI have a higher risk of cardiovascular disease (CVD) and early death. The PRIMROSE research programme has run for over a decade (https://www.ucl.ac.uk/psychiatry/primrose) exploring the best ways to assess, treat, and manage physical health in people with SMI. The original PRIMROSE intervention has been modified to create UCLPartners-PRIMROSE (https://uclpartners.com/our-priorities/cardiovascular/proactive-care/uclpartners-primrose-implementation-guide/) and implemented in York/Humber and London.
There will be three 20-minute talks in the symposium.
Speakers will discuss:
- the content, importance, and relevance of the framework (Copsey),
- findings from our NIHR ARC funded implementation evaluation including successes and challenges (Shaw/Khurshid)
- policy/practice implications for other ICS working to reduce SMI heath inequalities (Osborn/Russell).
In this session delegates will gain an understanding of:
- UCLPartners-PRIMROSE – an evidence-based framework that is responsive to patient needs. It includes holistic assessments, peer support, and clinical risk stratification and prioritisation. It involves the wider clinical network across ICS
- key findings and lessons from our research evaluating the implementation of UCLPartners-PRIMROSE in London and York/Humber, and
- implications for research, policy, and practice.
Objectives
After the session delegates should:
- know why providing interventions for modifiable CVD risk factors in patients with SMI is crucial, rather than simply screening during the annual physical health check. They will also be aware of UCLPartners-PRIMROSE as a framework to tackle longstanding health inequalities in patients with SMI, an innovative way of addressing the treatment gap for long-term physical health conditions
- have knowledge around the content of the UCLPartners-PRIMROSE intervention and what is needed to set up and deliver this framework in practice
- be aware of the roles and responsibilities to provide better access to integrated mental and physical for patients with multiple long-term conditions
- have learned key determinants to success when implementing frameworks for patients with multiple long-term conditions in the developing ICS (practical and pragmatic advice)
- gain insight into the future directions for managing health inequalities in SMI and next steps needed to support patients in practice (including large scale delivery and implications for policy, and research.
Speakers
Chair: Dr Ed Beveridge, UCLPartners, North London Mental Health Partnership, London
Ms Gemma Copsey, UCLPartners, London
Dr Philippa Shaw, University College London, London and Dr Zuneera Khurshid, Improvement Academy at the Bradford Institute for Health Research, London
Professor David Osborn, University College London, North London Mental Health Partnership, Public Health England, London
Dr Gregor Russell. Bradford District Care NHS Foundation Trust, Bradford, Yorkshire and Humber Clinical Research Network, University of York, York
