Assess CVD risk in schizophrenia

GPs have been urged to take more responsibility for the physical health of patients diagnosed with schizophrenia.

Metabolic and cardiovascular risk factors must be monitored in these patients, say a collection of advocacy groups including the National Obesity Forum.

Weight gain is a multi-pronged problem in schizophrenia. As well as issues over cardiovascular health, there are concerns that some patients discontinue antipsychotic drugs when they put on weight.

Although the management of severe psychiatric care should continue to be the preserve of specialist services, GPs should be getting more involved with day-to-day management of these patients, say the charities.

The GMS quality framework mental health domain has 23 points for giving patients with schizophrenia health promotion advice depending on their health status. But in the manifesto developed by the advocacy groups, GPs are urged to embrace this role 'enthusiastically'. It called on GPs to set up screening systems to help manage metabolic and cardiovascular risks.

This could lead to referring a patient back to secondary care for a review of their antipsychotic medication.

Dr Dave Tomson, a Tyneside GP with an interest in mental health, called for more flexible support from mental health services.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

Mobile phone

GPs urge caution over plan for NHS health checks to go digital

GP leaders have warned that changes to the NHS health checks programme must be evidence-based...

Debbie Boughtflower

How career coaching can transform the lives of veterans

GPs across England and Wales can refer patients who used to work in the armed forces...

RCGP chair Professor Kamila Hawthorne

RCGP raises 'major concerns' over practice-level appointments data

The RCGP has written to health and social care secretary Steve Barclay warning that...

Labour shadow health and social care secretary Wes Streeting

GPs condemn 'ignorant' Labour rhetoric over access to appointments

Doctors' leaders have accused the Labour party of 'demonising' GPs after it claimed...


Government NHS pension reform plans 'too little too late', warns BMA

Government plans to boost retention of doctors through reforms to the NHS pension...

Child in bed with a fever

GPs told to have 'low threshold' for prescribing antibiotics in possible strep A cases

GPs have been urged to have a 'low threshold' for prescribing antibiotics and hospital...