Severe Mental Illness

The phrase severe mental illness (SMI) refers to people with psychological problems that are often so debilitating that their ability to engage in functional and occupational activities is severely impaired. Schizophrenia and bipolar disorder are often referred to as an SMI.

It is estimated that 15.7% of the adults in Surrey have a serious mental illness. This is around 147,000 people.

Levels of severe/enduring mental illness in Surrey are lower than in the rest of England; but Surrey has a slightly higher (not significantly) excess mortality rate in adults.  Importantly, all CCGs have a significantly lower percentage of people with SMI who received the complete list of health checks when compared with the rest of the country.

People with mental illness experience a greater burden of physical health conditions, often driven by the inequalities that they face. It is estimated that for people with SMI, two in three deaths are due to preventable physical illnesses such as cardiovascular disease. People with SMI are also more likely to have multi-morbidities, with younger adults with SMI being five times more likely to have three or more physical health conditions, compared to all patients of the same age.

Furthermore, excess premature mortality rates are more than three times higher amongst people with mental illness in England compared to the general population. Worryingly recent analyses suggests this gap is widening.

Surrey Prescribing Advisory Database (PAD)

The PAD is an innovative resource which can be accessed by healthcare professionals in primary and secondary care and by patients. The PAD provides guidance and key information on medicines use within Surrey. https://surreyccg.res-systems.net/PAD/

NICE

NICE impact Mental Health (2019)https://www.nice.org.uk/media/default/about/what-we-do/into-practice/measuring-uptake/niceimpact-mental-health.pdf

NICE Guidance

Mental Health and wellbeing https://www.nice.org.uk/guidance/lifestyle-and-wellbeing/mental-health-and-wellbeing

Self-harm  (https://www.nice.org.uk/guidance/conditions-and-diseases/mental-health-and-behavioural-conditions/self-harm)

Royal College of Psychiatrists

-Caring for the whole person - Physical healthcare of older adults with mental illness: integration of care (College Report CR222, 2019)

https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/college-report-cr222.pdf

-Problems and disorders https://www.rcpsych.ac.uk/mental-health/problems-disorders

RCGP Mental Health Toolkit https://www.rcgp.org.uk/clinical-and-research/resources/toolkits/mental-health-toolkit.aspx

Patient.info https://patient.info/mental-health

NHS RightCare

NHS RightCare Toolkit: Physical ill-health and CVD prevention in people with severe mental illness (2019)https://www.england.nhs.uk/rightcare/wp-content/uploads/sites/40/2019/03/nhs-rightcare-toolkit-cvd-prevention.pdf

National Institute for Health Research (NIHR)

Themed Review: Forward Thinking - Support for people with severe mental illness (2018)

https://evidence.nihr.ac.uk/themedreview/forward-thinking-support-for-people-with-severe-mental-illness/

Collection: Mental health and COVID-19 (2020)

https://evidence.nihr.ac.uk/collection/mental-health-and-covid-19/

Other Useful Websites:

Mental Health Foundation https://www.mentalhealth.org.uk/welcome/

Royal College of Psychiatrists – Mental health https://www.rcpsych.ac.uk/mental-health

MIND https://www.mind.org.uk/

Public Health England - Health Matters: Reducing health inequalities in mental illness (2018) https://publichealthmatters.blog.gov.uk/2018/12/18/health-matters-reducing-health-inequalities-in-mental-illness/

Surrey-I Wellbeing and Adult Mental Health https://www.surreyi.gov.uk/jsna/wellbeing-and-adult-mental-health/

University of Surrey - Mental health-friendly health check resources for health and social care professionals https://www.surrey.ac.uk/research-projects/mental-health-friendly-health-check-resources-health-and-social-care-professionals

Rethink Mental Illness https://www.rethink.org/

SMI Physical Health Checks

Improving access to physical health checks for people with severe mental illness (SMI) is part of the NHS Long Term Plan, with the aim of 390,000 people with SMI receiving physical health checks by 2023/24. People with an SMI are at risk of dying prematurely,  in some cases 20 years earlier than the general population.  Many of these deaths are preventable if conditions like high blood pressure, diabetes and cardiovascular problems are identified and treated early through physical health checks.

Free 15 minute e-learning for primary care professionals

https://portal.e-lfh.org.uk/Catalogue/Index?HierarchyId=0_53263&programmeId=53263%20

This course is aimed at primary care colleagues including clinicians equipped with the skills to deliver a full physical health check such as Health Care Support Workers, Practice Nurses and GPs.

South East Clinical Delivery and Networks - How to improve the physical health of people with severe mental illness https://www.southeastclinicalnetworks.nhs.uk/phsmi/

GP Practical Diploma in Primary Care and Mental Health. Contact Natalie Assender for further info  natalie.assender1@nhs.net

Mental Health Courses https://mentalhealthcourses.org.uk/free-online-courses/

British Journal of General Practice - Physical health checks for people with severe mental illness during COVID-19Author(s): Richard Armitage et al. IN: British Journal of General Practice 2021 71 (705): 171 - Full-text: https://bjgp.org/content/71/705/171  

Mental Health Awareness for GPs - e-Learning for Healthcare (e-lfh.org.uk)

(https://www.e-lfh.org.uk/programmes/mental-health-awareness-for-gps/)

  •  Depression in Adults
  •  Medication in Mental Health
  •  Managing Enduring Psychosis in Primary Care
  •  Mental Health and Long-term Conditions
  •  Learning Disabilities

Mental Health Awareness Programme - e-Learning for Healthcare (e-lfh.org.uk)

(https://www.e-lfh.org.uk/programmes/mental-health-awareness-programme/)

  • Perinatal Mental Health
  • Mental Health in Emergency Medicine
  • Mental Health Awareness for Healthcare Professionals
  • Mental Health Awareness for GPs
  • Mental Health for Practice Nurses

SMI Physical Health Checks

South East Clinical Delivery and Networks - How to improve the physical health of people with severe mental illness https://www.southeastclinicalnetworks.nhs.uk/phsmi/

e-lfh https://portal.e-lfh.org.uk

British Journal of General Practice - Physical health checks for people with severe mental illness during COVID-19

Author(s): Richard Armitage et al. IN: British Journal of General Practice 2021 71 (705): 171

Full-text: https://bjgp.org/content/71/705/171  

Suicide Prevention

RCGP https://elearning.rcgp.org.uk/course/info.php?popup=0&id=166 (Free for RCGP members, if you are not a member please contact the CCG)

Reception staff – Zero Suicide Alliance’s ‘Suicide Let's Talk' free 20 minute e-learning course (https://www.relias.co.uk/hubfs/ZSA-FullTraining-10012020/story_html5.html)

Zero Suicide Alliance https://www.zerosuicidealliance.com/

Mental Health First Aid

Newbury College - Awareness of Mental Health Problems Level 2 certificate (Free)

(https://newbury-college.ac.uk/courses/health-social-care-and-counselling/awareness-of-mental-health-problems-level-2-certificate)

St John Ambulance - Mental Health First Aid training courses (https://www.sja.org.uk/courses/workplace-mental-health-first-aid/?gclid=EAIaIQobChMIs6zPs5Db8gIVkbbtCh1z8gVkEAAYASAAEgJwu_D_BwE&gclsrc=aw.ds)

MHFA Mental Health First Aid England – Book a course

(https://mhfaengland.org/book-a-course/)

LCS/Pathways/Enhanced Service Spec

Surrey Heartlands Mental Health Enhanced Physical Health Checks & Suicide Prevention document

Community Mental Health Recovery Service (CMHRS) Teams

CMHRS Generic Inbox E-mail address
Elmbridge CMHRS rxx.elmbridgecmhrsduty@nhs.net 
Epsom CMHRS eebduty@sabp.nhs.uk
Guildford CMHRS RXX.Guildfordduty@nhs.net
Mole Valley CMHRS MVDuty@sabp.nhs.uk
NE Hants CMHRS rxx.nehantscmhrs@nhs.net
Redhill & Reigate CMHRS Reigate.cmhrs@nhs.net
Runnymede & Spelthorne CMHRS rxx.rmedeandspelthrr@nhs.net
Surrey Heath CMHRS surreyheathadmin@sabp.nhs.uk
Tandridge CMHRS Rxx.tandridgeduty@nhs.net
Waverley CMHRS rxx.waverleycmhrs@net.net
Woking CMHRS Rxx.Wokingduty@nhs.net
SPA spa@sabp.nhs.uk
   

Single Point of Access (SPA) for Mental health Services:  Monday-Sunday – 24 hours Tel:   0300 456 8342 E-mail:  rxx.spa.sabp@nhs.net

Safe Havens Safe Havens provide out of hours help and support to people and their carers who are experiencing a mental health crisis or emotional distress. Find details of Surrey’s Safe Havens here: https://www.catalystsupport.org.uk/safe-havens/

Psychologically Informed Consultation and Training (PICT)

https://www.sabp.nhs.uk/our-services/mental-health/Complex-Emotional-needs-and-personality-disorder/PICT

 Weekly drop-in consultation clinics are every Monday and Tuesday. Please follow the links below to access these clinics; no need to book in advance.

Or you can call us or email us on: PICT admin contact number: 07880 309893 or pict.admin@sabp.nhs.uk

Surrey and Borders Partnership NHS Foundation Trust https://www.sabp.nhs.uk/our-services/professionals

Outreach Library Service can identify, collate, and summarise evidence for you, to inform your clinical practice, patient pathways and professional development. (Link to ‘Library & Knowledge Services’ page https://future.nhs.uk/surreyheartlands/view?objectID=26431600)

Public Health England - Health Matters: Reducing health inequalities in mental illness (2018) https://publichealthmatters.blog.gov.uk/2018/12/18/health-matters-reducing-health-inequalities-in-mental-illness/

Surrey-I Wellbeing and Adult Mental Health https://www.surreyi.gov.uk/jsna/wellbeing-and-adult-mental-health/

Public Health England – Public Health Profiles – Severe Mental Illness https://fingertips.phe.org.uk/profile-group/mental-health/profile/severe-mental-illness

Public Health England - Severe mental illness (SMI) and physical health inequalities: briefing (2018) https://www.gov.uk/government/publications/severe-mental-illness-smi-physical-health-inequalities/severe-mental-illness-and-physical-health-inequalities-briefing