Physical Health in Severe Mental Illness:

Problems and Solutions

INFORMATICS

Max HendersonSenior Lecturer in Epidemiological & Occupational Psychiatry

http://www.kingshealthpartners.org/khp/

MPHiL Study

• Linking the primary care and secondary mental health care record of an entire London borough

• Fully anonymised data

• Unique collaboration with applications now and in the future

PRIMARY CARE

SECONDARY MENTAL HEALTH CARE

http://www.kingshealthpartners.org/khp/

http://www.kingshealthpartners.org/khp/

http://www.kingshealthpartners.org/khp/

http://www.kingshealthpartners.org/khp/

http://www.kingshealthpartners.org/khp/

Lambeth DataNet

• Includes 52 / 53 GP practices

• Data on ~ 370 000 patients

• Routine coded primary care data– Ethnicity– Prescriptions– QOF

http://www.kingshealthpartners.org/khp/

Linkage between CRIS and Lambeth Datanet

http://www.kingshealthpartners.org/khp/

Initial Proof of Principle Study

1. SMI patients not on CRIS

Initial Proof of Principle Study

1. SMI patients not on CRIS

2. QOF: physical healthcare received by SMI patients

Initial Proof of Principle Study

1. SMI patients not on CRIS

2. QOF: physical healthcare received by SMI patients

3. Risk factors for good and bad outcomes

Future Possibilities

Ask other questions

Repeat the linkageMonitor interventions in “real time”HES? / Thames Cancer Registry

Future Possibilities

Ask other questions

Repeat the linkageMonitor interventions in “real time”HES? / Thames Cancer Registry

Southwark Datanet anyone?

max.j.henderson@kcl.ac.uk