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Perform a mental health assessment, as shown below, to review the person's mental state and associated functional, interpersonal, and social difficulties.
Consider physical health screen (incl. blood tests) to rule out other causes e.g. hypothyroidism
If a person is distressed, has a decline in social functioning and has:
Complete a comprehensive annual health check, focusing on physical health problems that are common in people with psychosis and schizophrenia when responsibility is transferred from secondary care.
Consider using the RCGP guideline: Lester Cardiometabolic Intervention Framework
A copy of the results should be sent to the care coordinator and psychiatrist, and put in the secondary care notes.
Recent reviews of serious incidents have identified potential system and process changes which could improve the quality and responsiveness of care for people who require secondary care mental health services.
It would be helpful if GPs could please share any information in relation to substance misuse with GHC, particularly when a patient is injecting, as this aids clinical risk assessment and management. It is also really helpful if referrals into mental health services contain an appropriate risk assessment.
In all instances when a patient dies unexpectedly, especially if the cause of death is suspected suicide, GPs should inform GHC as soon as possible. This will allow GHC to quickly put in place support for those bereaved and minimise the risk of appointment letters etc. being sent to the deceased.
Contact: email@example.com (Assistant Director of Governance & Compliance, GHC)