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
Updated for 2014
The Lester UK Adaption of the Positive Cardiometabolic Health Resource
'The Lester UK Adaption - positive Cardiometabolic Health Resource: an intervention framework for patients with psychosis on antipsychotic medication' has been updated to support the implementation of the physical health CUQIN for 2014.
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.
The development was facilitated by the NAS, an initiative led by the Centre for Quality Improvement of the Royal College of Psychiatrists (RCPsych), commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and patients Outcomes Programme (NCAPOP) and involving a close collaboration with the Royal College of General Practitioners (RCGP) and the Royal College of Nursing (RCN).
The RCGP Clinical Innovation and Research Centre worked with the NAS team to produce the 2012 version of the clinical resource for the United Kingdom (UK), adapted from work by Australian colleagues (Curtis et al, 2012). The resource was adapted for UK use initially through a consensus group led on behalf of the RCGP by Professor Helen Lester and has now been fully endorsed by the RCGP, RCPsych, RCN, RCP London, HQIP (NCAPOP), Rethink Mental Illness and Diabetes UK.
Lead Authors on the original UK adaption (2012 version): Helen Lester, David Shiers, Imran Rafi, Steven Cooper, Richard Holt.
To cite the Lester 2014 Update: Shiers DE, Rafi I, Cooper SJ, Holt RIG. (2014) Positive Cardiometabolic Health Resource: an intervention framework for patients with psychosis on antipsychotic medication. Royal College of Psychiatrists. London.
Expert contributions and review comments: Particular thanks to: Salima Adatia, Thomas Barnes, Mike Crawford, Ahmet Fuat, Roger Gadsby, Fiona Gaughran, Kathryn Griffiths, Kamlesh Khunti, Ian Maidment, Carol Paton, Maxine Patel, David Taylor, Jogin Thakore, Andre Tylee, David Yeomans, Ellie Gordon, Ian Hulatt, Asanga Fernando and Salman Gauher.
Special acknowledgement: This resource was inspired by the HETI initiative in Sydney, New South Wales led by Dr Jackie Curtis, Consultant Psychiatrist to whom we offer very warm thanks for their continuing involvement and support in developing this UK adaption of their original work.
References and useful resources
Download Positive Cardiometabolic Health Algorithm from the New South Wales Training Programme 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.
Factsheets: UPDATED FOR 2014
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.
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: email@example.com or telephone 029 20 504516.
Primeh (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.
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.
Choice and Medication
Here you can find information leaflets on medications.
MindFull 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
Perinatal Mental Health
NICE guideline CG45; Antenatal and postnatal mental health. Clinical management and service guidance. Issued: February 2007 last modified: April 2007
Quick reference guide [PDF]
NICE guideline [PDF]
Revised guideline due for publication Nov-Dec 2014
SIGN/HIS. Management of perinatal mood disorders. Guideline No 127. March 2012
Quick reference guide [PDF]
Joint Commissioning Panel for Mental Health: Guidance for commissioners of perinatal mental health services. Volume Two: Practical Mental Health Commissioning. 2012
NHS Education for Scotland, Nursing and Midwifery Perinatal Mental Health Curricular Framework. October 2006
E-LEARNING: Postnatal depression
IMPACT ON CHILDREN
A cross-party manifesto: Andrea Leadsom MP, Frank Field MP, Paul Burstow MP, Caroline Lucas MP
The 1001 Critical Days: The importance of the Conception to Age Two Period
NSPCC. Prevention in mind. All Babies Count: spotlight on perinatal mental health. [PDF]
Four children. Suffering in silence: 70,000 reasons why help with postnatal depression has to be better
Gray R. Chapter 5 Life stage: Pre-conception and pregnancy: in Annual Report of the Chief Medical Officer 2012. Our Children Deserve Better: Prevention Pays [PDF]
Experience of Care:
Boots Family Trust Alliance Netmums, the Institute for Health Visiting, Tommy's, and the Royal College of Midwives. Perinatal Mental Health Experiences of Women and Health Professionals. October 2013
Film: Over my left shoulder
Overcoming postnatal depression: a five areas approach by Christopher Williams, Roch Cantwell and Karen Robertson, Hodder Arnold (2009)
Copying with postnatal depression by Sandra Wheatley, Sheldon Press (2005)
Surviving postnatal depression by Cara Aitken, Jessica Kingsley Publishers (2000)
Feelings after childbirth: the NCT book of postnatal depression by Heather Welford, NCT Publishers (2002)
The Yellow Wallpaper by Charlotte Perkins Gilman
Hillbilly Gothic: A memoir of madness and motherhood by Adrienne Martini
Useful contacts and links