Hardy Sheila
Charlie Waller Trust, Newbury RG14 5SJ, UK.
Nurs Rep. 2024 Dec 6;14(4):3864-3877. doi: 10.3390/nursrep14040282.
: People with a severe mental illness die much earlier than the rest of the population from a preventable physical illness. Annual health checks are a way of assessing the person to then offer the appropriate interventions. Integrated Care Northampton, England used the long-term plan baseline funding allocated to them from the government department that commissions primary care services, to implement a local enhanced service. Their aim was to provide a person-centred physical health check that people with severe mental illness feel comfortable, confident, and able to engage with. : Wellbeing Organisation Research Training Hub Northampton were commissioned by Integrated Care Northampton to provide training, support, and evaluate the locally enhanced service. Training was provided by training trainers who then offered one-to-one support to those delivering health checks in practice. Providers of the health checks could also access individual support from Wellbeing Organisation Research Training Hub staff. Patient data were collected via a template that is part of usual practice. Questionnaires were used to evaluate the education of staff, the delivery of health checks, and the impact on people with severe mental illness. : Training was well received but most of the trainers did not continue in their role. The project was successful in highlighting the physical health needs of people with severe mental illness and monitoring in primary care increased. Though methods were put in place to evaluate the delivery of health checks and their impact on people with severe mental illness, these were not utilised by the service. : This paper emphasises how difficult it is to implement a new service and evaluate it successfully. Future projects should prioritise measuring the quality of the service.
患有严重精神疾病的人比其他人群更早死于可预防的身体疾病。年度健康检查是评估个人情况以便随后提供适当干预措施的一种方式。英国北安普敦综合护理中心利用政府部门分配给他们的长期计划基线资金（该部门负责委托初级保健服务）来实施一项地方强化服务。他们的目标是提供一项以患者为中心的身体健康检查，让患有严重精神疾病的人感到舒适、自信并能够参与其中。北安普敦幸福组织研究培训中心受北安普敦综合护理中心委托，提供培训、支持并评估这项地方强化服务。培训由培训培训师提供，然后他们为实际进行健康检查的人员提供一对一支持。健康检查的提供者也可以获得幸福组织研究培训中心工作人员的个人支持。患者数据通过作为常规做法一部分的模板收集。问卷用于评估工作人员的教育情况、健康检查的实施情况以及对患有严重精神疾病的人的影响。培训受到好评，但大多数培训师没有继续担任其角色。该项目成功地突出了患有严重精神疾病的人的身体健康需求，并且初级保健中的监测有所增加。尽管已制定方法来评估健康检查的实施情况及其对患有严重精神疾病的人的影响，但该服务并未采用这些方法。本文强调实施一项新服务并成功对其进行评估是多么困难。未来的项目应优先衡量服务质量。
