7 Nov 2021

Project aim

This project aims to improve the quality of delivering physical health check-ups and their subsequent interventions in people with severe mental illness in early intervention services, with the possibility of expansion to Community Mental Health Teams.


There is a disparity between the physical health of people with serious mental illness (SMI) and the health of those without SMI. People with mental health problems have higher rates of obesity, smoking and chronic diseases such as heart disease, hypertension, respiratory disease, and diabetes; it is thought that both lifestyle factors and adverse reactions to psychotic medications contribute to this. Comorbidity in SMI patients is compounded by less than optimal care for the physical health and poor access to their GPs/other health professionals who have the responsibility for monitoring people with SMI’s physical health. 

Potential interventions   

Key interventions will be co-designed in the next phase of MHIN. 

How the project outcomes could be measured

Researchers will use a number of clinical and implementation outcome measures to measure the impact of the project:

  • Number of health checks (e.g. blood pressure, diabetes screening, BMI, smoking
  • Proportion of NICE approved interventions provided to patients identified as in need of intervention
  • Number of people offered screening for heart disease, hypertension, respiratory disease, and diabetes

Planned impact

  • Improved diagnosis of physical health conditions for people with SMI
  • Improved access to physical healthcare interventions for people with SMI
  • Improved prevention services for people with SMI