Mental health problems affect many people across the UK. Recognising the importance of mental health problems in the primary care consultation has been a focus for several clinical priority areas. Please find below a range of resources to support general practitioners.
Youth mental health
The Lester UK Adaption of the Positive Cardiometabolic Health Resource - Updated for 2014
Lester Adaption 2014 update [PDF]
This clinical resource provides a simple framework for identifying and treating cardiovascular and Type Two diabetes risks in patients with psychosis who are receiving antipsychotic medication. It supports collaborative practice between professional disciplines and across service settings.
The updated 2014 version was co-produced by NHS England, NHS Improving Quality, Public Health England and the National Audit of Schizophrenia (NAS) team to support the 2014 physical health CQUIN.
This resource was adapted for UK use initially through a consensus group led on behalf of the RCGP by Professor Helen Lester, later being named in memory of her. It has been fully endorsed by the RCGP, RCPsyh, RCN, RCP London, Rethink Mental Illness and Diabetes UK.
For more information on the Lester adaption and its central role in supporting the effective delivery of the Physical Health CQUIN for 2014, please visit the National Audit of Schizophrenia (NAS) resources page on the Royal College of Psychiatrists' website.
The Mental Health Consultation (with a Young Person): A Toolkit for GPs
This toolkit provides a practical resource for GPs to build skills and confidence in addressing the important area of mental health in young people. The toolkit was developed in 2012 by the Charlie Waller Memorial Trust with support from the RCGP.
Improving Physical and Mental Health
This website hosts a range of resources for supporting the physical health of people with mental health problems and learning difficulties and the mental health of people with physical health problems. The RCGP developed this resource in collaboration with the Royal College of Physicians, the Royal College of Paediatrics and Child Health and the Royal College of Psychiatrists.
Wales Mental Health in Primary Care (WaMH in PC)
WaMH in PC is a special interest working group of RCGP Wales established in 2003. The group brings together a diverse group of workers from primary care, health boards, social care and the third sector with patients and carers.
The vision of the group is to support the delivery of a world class care service for Wales that gives parity of esteem to the physical and psychological wellbeing of patients; in order to present unnecessary distress, improve health outcomes, increase efficiency and ultimately transform lives.
To find out more contact Lesley Hills, Project Manager WaMH in PC at: firstname.lastname@example.org or telephone 029 20 504516.
Primhe (Primary Mental Health and Education) is affiliated with the RCGP. It provides suitable training to ensure that all primary carers, GPs and allied professionals have the core skills to deal with poor wellbeing or mental health issues, working with researchers to understand what is effective, whether within NICE guidelines or not and lobbies for better teaching of primary care mental health education, measuring success through outcomes that matter in people's lives.
This factsheet series was originally developed by the former Primary Care Mental Health Forum which was jointly chaired by the Royal College of General Practitioners and the Royal College of Psychiatrists. Each factsheet provides a quick and easy practical reference for primary care professionals. These factsheets were reviewed and updated by Professor Carolyn Chew-Graham and Dr David Shiers in Spring 2014 to reflect new evidence and evolving models of service provision.
Factsheets - Prescribing Advice
The Management of Patients with Physical and Psychological Problems in Primary Care
This joint report between the Royal College of General Practitioners and the Royal College of Psychiatrists was first published in 2009. It was reviewed in 2011/2012 and its currency was extended until 2015.
- Management of patients with physical and psychological problems in primary care: Joint report
The management of anxiety and depression
This joint statement was developed by the Royal College of General Practitioners and the Royal College of Psychiatrists in 2008.
There are a number of NICE guidelines focussed on mental health. They are accessible via the NICE Pathways, which are easy and intuitive to navigate and bring together related NICE guidance.
The mental health NICE Pathways are:
- Antenatal and postnatal mental health
- Antisocial behaviour and conduct disorders in children and young people
- Attention deficit hyperactivity disorder
- Common mental health problems
- Depression (in adults CG90 and with a chronic physical health problem CG91)
- Eating disorders
- General anxiety disorder
- Mental wellbeing and older people
- Obsessive-compulsive disorder
- Panic disorder
- Post-traumatic stress disorder
- Promoting mental wellbeing at work
- Psychosis and schizophrenia in children and young people
- Psychosis with coexisting substance misuse
- Service user experience in adult mental health services
- Social and emotional wellbeing for children and young people
- Social anxiety disorder
National audit of schizophrenia
The National Audit of Schizophrenia (NAS) is focused on clinicians who treat people with schizophrenia in the community, including GPs to assess the quality of their prescribing of antipsychotic drugs and of their monitoring of patients' physical health. It also supports them to monitor patients' experience of treatment and its outcome plus carers' satisfaction with information and support.
The NAS is managed by the Royal College of Psychiatrists. It is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).
Find out more about this audit
National audit of psychological therapies
The National Audit of Psychological Therapies (NAPT) for Anxiety and Depression aims to promote access, appropriateness, acceptability and positive outcomes of treatment for those suffering from depression and anxiety.
The NAPT is managed by the Royal College of Psychiatrists and is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).
Find out more about this audit
Hosted by Northamptonshire Teaching NHS Trust, Changing Minds is a patient focussed website with a range of information and resources.
Choose your Medication
Here you can find information leaflets on medications.
Be Mindful is a service for 11-17 year olds, providing support, information and advice about mental health and emotional wellbeing.
Royal College of Psychiatrists
The RCP offers a range of information leaflets for patients and carers
The extraordinary potential of primary care to improve mental health, Dr Elizabeth England, Clinical News June 2014
Achieving better access to mental health services, Dr Elizabeth England, Clinical News November 2014
Useful contacts and links
Huntingdon's Disease Association
Moving upstream: Improving mental health
Time to change
World Federation for Mental Health