{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T01:44:03Z","timestamp":1774143843535,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is wide variation in premature mortality rates in adults with severe mental illness (SMI) across London, with Tower Hamlets (a highly deprived and ethnically diverse area) scoring the highest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify examples of best practice and co\u2010design recommendations for improving physical health checks and follow\u2010up care amongst people with SMI in Tower Hamlets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected through online questionnaires (using SMI physical health best practice checklists), one\u2010on\u2010one interviews (<jats:italic>n<\/jats:italic>\u2009=\u20097) and focus groups (<jats:italic>n<\/jats:italic>\u2009=\u20093) with general practices, secondary mental health services, commissioners and leads of community services and public health programmes, experts by experience and community, voluntary and social enterprise organisations in Tower Hamlets. Data were analysed using deductive and inductive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two participants representing 15 general practices (out of 32), secondary mental health services, commissioners and public health leads completed the online questionnaires. Twenty\u2010one participants took part in interviews and focus groups. Examples of best practice included cleaning and validating the SMI register regularly by general practices, knowing the number of patients who had been offered and\/or received physical health checks, having clear pathways to community and specialist care services, using various communication methods\u00a0and having a key performance indicator (KPI) for tailored smoking cessation services for people with SMI. Recommendations included adopting evidence\u2010informed frameworks for risk stratification and utilising the wider primary care workforce with specific training to follow up on results, offer interventions\u00a0and support navigating pathways and taking up follow\u2010up care. Incentivising schemes were needed to deliver additional physical health check components such as oral health, cancer screening, Covid\u201019 vaccination and sexual health checks. Including KPIs in other community services' specifications with reference to SMI people was warranted. Further engagement with experts by experience and staff training were needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present initiative identified best practice examples and co\u2010designed recommendations for improving physical health checks and follow\u2010up care in deprived and ethnically diverse people with SMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>This initiative was supported by three experts with experience, and two community organisations, who were involved in data curation and interpretation, development of recommendations\u00a0and\/or dissemination activities including writing this manuscript.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70005","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T10:24:12Z","timestamp":1724840652000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Physical Health Checks and Follow\u2010Up Care in Deprived and Ethnically Diverse People With Severe Mental Illness: Co\u2010Designed Recommendations for Better Care"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2983-0679","authenticated-orcid":false,"given":"Easter","family":"Joury","sequence":"first","affiliation":[{"name":"Institute of Dentistry Queen Mary University of London  London UK"},{"name":"Royal London Dental Hospital Barts Health NHS Trust  London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Beveridge","sequence":"additional","affiliation":[{"name":"UCLPartners  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Littlejohns","sequence":"additional","affiliation":[{"name":"Tower Hamlets North East London Integrated Care Board  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Burns","sequence":"additional","affiliation":[{"name":"Healthy Young Adults, London Borough of Tower Hamlets  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Copsey","sequence":"additional","affiliation":[{"name":"UCLPartners  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Philips","sequence":"additional","affiliation":[{"name":"NHS North East London, North East London Health and Care Partnership  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanaz","family":"Begum","sequence":"additional","affiliation":[{"name":"Tower Hamlets Early Detection Service  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2531-5837","authenticated-orcid":false,"given":"David","family":"Shiers","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust University of Manchester  Manchester UK"},{"name":"Division of Psychology and Mental Health University of Manchester  Manchester UK"},{"name":"Primary Care and Health Sciences, School of Medicine University of Keele  Newcastle UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9722-9981","authenticated-orcid":false,"given":"Carolyn","family":"Chew\u2010Graham","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Medicine and Health Sciences Keele University  Newcastle UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Klass","sequence":"additional","affiliation":[{"name":"NHS England London Region  London 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