A new Physical Health and Wellbeing Clinic will soon be rolled out across Doncaster, supporting the delivery of integrated, holistic care for patients on the SMI register. The service will be delivered in primary care settings through the four geographical locality hubs.
Patients listed on the SMI register will be invited for an annual physical health assessment in line with the QOF 12 point health check for SMI. And for those patients with prescribed antipsychotic medication, it will also ensure physical health checks take place in line with antipsychotic monitoring, as outlined by the National Institute for Health and Care Excellence (NICE) in 2009.
The service will reach out to vulnerable patients; offering support to adopt healthy lifestyles and aid access to locally available health services. The health assessments will typically take place in both clinics and patients homes.
The proposed service will take the positive aspects of the current services and combine them to create multidisciplinary teams working in primary care / community hubs. This will help create an efficient and effective local solution to the guidance issued by NICE.
The service will be led by Primary Care Doncaster (PCD) Limited and Rotherham, Doncaster and South Humber NHS Foundation Trust (RDaSH) in consultation with Doncaster Local Medical Committee (LMC).
Further information will be available shortly.