The role of primary care for people with severe mental illness: a cross sectional cohort study

S Reilly, C Planner, M Hann, D Reeves, I Nazareth, H Lester

    Research output: Contribution to conferenceOther

    Abstract

    Background:Severe mental illness is a serious and potentially life changing set of conditions. This paper describes and analyses patient characteristics and service usage over one year of a representative cohort of people with a diagnosis of severe mental illness across England, including contacts with primary and secondary care and continuity of care.Methods:Data were collected from primary care patient notes (n = 1150) by trained nurses from 64 practices in England, covering all service contacts from 1st April 2008 to 31st March 2009. Findings:The estimated national rate of patients seen only in primary care in the period was 31.1% (95% C.I. 27.2% to 35.3%) and the rates of schizophrenia and bipolar disorder were 56.8% (95% C.I. 52.3% to 61.2%) and 37.9% (95% C.I. 33.7% to 42.2%). In total, patients had 7,961 consultations within primary care and 1,993 contacts with mental health services (20% of the total). Unemployed individuals diagnosed more recently were more likely to have contact with secondary care. Of those seen in secondary care, 61% had at most two secondary care contacts in the period. Median annual consultation rates with GPs were lower than have been reported for previous years and were only slightly above the general population. Relational continuity in primary care was poor for 21% of patients (Modified Modified Continuity Index =
    Original languageEnglish
    Publication statusPublished - Jun 2012
    EventHealth Services Research Network Symposium: Delivering better health services 2012 - Manchester Central
    Duration: 19 Jun 201220 Jun 2012

    Conference

    ConferenceHealth Services Research Network Symposium: Delivering better health services 2012
    CityManchester Central
    Period19/06/1220/06/12

    Keywords

    • severe mental illness
    • primary care
    • health service use
    • continuity of care
    • collaborative care

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