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

Trust-wide approach to the

pursuit of physical health

parity

What did we do?

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

Two tier physical health

skills training:

Foundation

Advanced

Some sample topics

from the Foundation

Course:

Advanced Physical

Health - Skills Lab

What next?

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

Thank you

Any questions?