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Reducing CVD risk
for people with
Serious Mental Illness
the NTW perspective
Anne Moore Group Nurse Director - Specialist Care Services
Julie Taylor Physical Health Lead Nurse / Project Lead
Northumberland,
Tyne and Wear NHS
Foundation Trust
• Population of 1.4 m
• Six geographical
areas
• One of the largest
mental health and
disability
organisations in the
country
• Income of circa
£300 m and circa
6,000 staff
• Over 130 sites
CIPOLD – Confidential Enquiry
• Median age of death for
men with learning
disabilities 65 (UK
population 78)
• For women median age
was 63 (UK population
83)
• 42% of deaths (238
reviewed) were
considered premature.
(published by Norah Fry Research Centre, 2013)
Royal College of Psychiatrists (2014). Trust Level Data for: Northumberland, Tyne and Wear NHS Foundation
Trust 2014. London: Healthcare Quality Improvement Partnership
National Audit for Schizophrenia 2014Standard 4 Monitoring Physical Health
Risk Factors
Total
Sample %
NTW
%
FIVE RISK FACTORS (family history excluded) 33 39
SMOKING 89 91
BMI 52 65
GLUCOSE CONTROL 57 58
LIPIDS 57 69
BLOOD PRESSURE 61 75
ALCOHOL CONSUMPTION 70 71
SUBSTANCE MISUSE 89 87
Standard 5 Intervention Offered for
Identified Physical Health Risks
Total
Sample %
NTW %
SMOKING 59 47
BMI > or = 25Kg/m2 71 72
ABNORMAL GLUCOSE CONTROL 36 28
ABNORMAL LIPIDS (not reported)
ELEVATED BLOOD PRESSURE 25 8
ALCOHOL MISUSE 74 73
SUBSTANCE MISUSE 73 67
Royal College of Psychiatrists (2014). Trust Level Data for: Northumberland, Tyne and Wear
NHS Foundation Trust 2014. London: Healthcare Quality Improvement Partnership
Improving Health
Outcomes
Physical Health & Wellbeing
Group
PHWB conferences
Physical Health Link Workers
& Champions
Pilot site -implementing
Cardio-vascular health
strategiesTransformation Programmes
Non-Medical Prescribing
Nursing Strategy –‘Delivering
Compassion in Practice’
Trust Policies
Monitor
Record
Communicate
Physical Health Link Workers and
Community Champions
• Each ward or clinical team
• Qualified lead & associated
assistant
• 96 initially identified - increased
• Attend monthly physical health
meetings
• Cascade information
• First line of physical health
training
• Support ward level training /
awareness
Physical health skills passport
Physical health skills self-assessment
Evaluation / outcomes
CVD Project report follow-up – cholesterol / BP / glucose
Building on CVD Project work – intervention pathways
Repeating Skills self assessment post-training
Comments box attached – positive statements received
Developing strategies for collecting data:
• changes in co-morbidities / diagnoses
• referrals to GP and / or Secondary care services
• deaths related to physical health