Psychiatric Bulletin (2005) 29: 153. doi: 10.1192/pb.29.4.153-a
© 2005 The Royal College of Psychiatrists
Psychiatric Bulletin (2005) 29: 153
© 2005 The Royal College of Psychiatrists
Physical health and health risk factors in a population of long-stay psychiatric patients
G. L. Milner, Consultant Psychiatrist
Birmingham and Solihull Mental Health NHS Trust, 51 Grove Road, Solihull,
West Midlands B912AQ
I was interested to read Dr Cormac et als article regarding
physical health and health risk factors in a population of long-stay
psychiatric patients (Psychiatric Bulletin, January 2005, 29,
1820). In my own service I am responsible for two long-stay units.
Local general practitioners (GPs) have designated sessions to attend
consultant ward-round reviews and are responsible for providing primary care
services for patients in these units. This means that as part of the regular
review, issues such as weight gain and diet, smoking, hypertension and other
risk factors predisposing to coronary heart disease or other physical
disorders are regularly discussed and addressed with appropriate physical
examination, health-care advice and investigations.
The value of GPs attending the regular in-patient reviews has offered
benefit not only to our residents in ensuring appropriate access to primary
care services, but also to myself and staff in learning about recent
initiatives in primary care. The GPs who attend have also had the benefit of
access to the knowledge and experience of mental health specialists, which
they have been able to use in their own practice.
It would seem a mutually beneficial arrangement and one that I would
recommend to all services that provide long-stay, psychiatric in-patient
services.