The PHCP project case study has been featured in the latest Royal College of Psychiatrists publication as an example of good practice in using Quality Improvement to improve outcomes of patients.
The Physical Health Care for patients with Psychosis (PHCP) project was run in collaboration with NELFT, North East London Local Pharmaceutical Committee (NELLPC) and local pharmacies – a unique collaborative approach between secondary care, community pharmacy and primary care. The year-long project started in October 2016 and aimed to carry out physical health checks for patients with psychosis in the community by pharmacists.
The Royal College of Psychiatrists magazine was a guide to Quality Improvement from the Faculty of General Adult Psychiatry. The project was led by Asif Bachlani – who at the time was NELFT Associate Medical Director (Barking and Dagenham).
The project features in a video, which explains more about the joint collaboration.
The main results of the project were:
- 140 of patients had a physical health check within the community pharmacy which equates to 77% of all patients who were offered health checks in community pharmacies (140/180). (This compares very favourably with national data and previous NELFT data – NHS results: 42% community and 59% inpatient. So our community project with pharmacists was able to complete more health checks than inpatients setting.)
- 71% of attendees at community pharmacies had all five Lester cardiometabolic risk factors monitored which is significantly better than standard care in B&D (treatment as usual TAU) where 36% of patients had all 5 checks.
The project also supported patients to reduce or stop smoking, increase their exercise and improve their diet. As part of the health checks patients completed a PAM and via health coaching patients become more engaged and empowered into managing their health.
Dr Bachlani said: “We are hoping to continue the project for the next 12 months and extend the project to older adults (over 65 year olds) in Barking and Dagenham and then present the project to the board to see if we can get the innovative project across BHR.
“We have also been asked to be part of the Public Health England/NHS RightCare workshop on 20 April looking at reducing premature cardiovascular mortality for patients with severe and enduring mental illness.”
Robert Neale, Transformation Project Manager said: “The project was set up to provide NELFT service users an innovative holistic service. Physical and mental health are often treated in isolation, which this project aimed to address by ensuring patients who require anti-psychotic medication had their physical health monitored in the convenience of a community pharmacy.
“The project saw NELFT working in successful collaboration with NELLPC and local pharmacies in Barking and Dagenham to provide a unique and comprehensive service. By utilising local pharmacies for the physical health checks we could offer service users healthcare close to their home when collecting their medication. It allowed individuals to be empowered to take greater control of their own wellbeing and receive up-to-date lifestyle advice. The project resulted in a significantly increased uptake of physical health checks for this patient cohort, which we hope to continue and replicate elsewhere.”
The article can be read here (on page 12): www.rcpsych.ac.uk/pdf/GAPQIBooklet.pdf