This page offers ideas and tools to help you improve data recording and information sharing across organisational boundaries to better respond to the physical health needs of people with serious mental illness
There is a lack of data recording and sharing across sectors which prevents the true picture of unmet need, health care utilisation and cost from being captured.
There is also a lack of understanding of the referral pathways for individuals with serious mental illness (SMI) to access preventative services, including community based services.
There are gaps in the existence or suitability of these services for many service users’ needs.
Actions to take
- Better use of data to capture incidence, prevalence, health care utilisation, costs and outcomes for individuals with SMI. This will provide a true understanding of the level of need, so that commissioners and providers can meet that need.
- Plan, invest and implement changes in key enablers that improve access to, and uptake of, screening and prevention services. These should include IT and digital maturity, workforce, indicators (such as screening rates), data and risk stratification tools.
- Support development and delivery of risk assessment tools to stratify needs of the population (and associated funding requirements).
- Monitor data and evaluate impact of interventions.
- Map out the coverage of lifestyle interventions for physical health and assess to what extent they are integrated and made accessible for people with SMI
- Healthcare providers and commissioners should ensure they maximise links between frameworks (e.g. Commissioning for Quality and Innovation [CQUIN] and Quality and Outcomes Framework [QOF]), to identify opportunities to reduce costs and duplication.
Tools to help you
The Public Health Outcomes Framework data tool sets out a vision for public health, desired outcomes and the indicators that will help us understand how well public health is being improved and protected. It presents data for the framework indicators and accompanying trend data where possible.
Go to Public Health Outcomes Framework collection to get the latest updates to indicators.
The NHS CCG outcomes tool and explorer provides interactive access to data from the CCG Outcomes Indicator Set and the NHS Outcomes Framework as well as demographic and disease prevalence (QOF) data. Particular outcomes of relevance are: People with serious mental illness who have received the complete list of physical checks (indicator 1.12).
2017/19 CQUIN (NHS England): The Commissioning for Quality and Innovation (CQUIN) framework supports improvements in the quality of services and the creation of new, improved patterns of care. Twoare particularly relevant to improving the physical health of people with SMI:
- CQUIN 3: Improving physical healthcare to reduce premature mortality in people with serious mental illness (PSMI)
- CQUIN 9: Preventing ill health by risky behaviours – alcohol and tobacco