3) Number offered/referred to associated interventions 4) Number with personalised goals and action plan for physical health in place Practices to repeat audit/data submission at year end showing improvement in physical health checks for people with SMI at the end of the year. Sharing the personalised goals and action plan Copy to patient and copy to HPFT/other professionals where appropriate Next Steps Refer to the HPFT share care protocol for physical health checks for people with SMI – Read codes SystmOne EMIS & SNOMED Concept (CTV3 Vision (v2 ID Code (SNOMED Code) Code) replaces Read CTV3 & v2 in all GP systems during 2018) Mental health annual physical examination done XaJON 9H9 408404002 Goals and action plan Goal identification Ua1LR 67L 225294001 Review of Patient Goals XaXfH 8CMX 775501000000108 Care Plan documentation SystmOne - Ardens Users SystmOne - Non Ardens EMIS Web Users Use the relevant condition Continue to use the same Continue to use the same specific templates to capture Personal Care Plan that you Personal Care Plan that key information. used for 17/18 and have used you used for 17/18 and in previous years as part of have used in previous Use the LTC review the avoiding unplanned as part of the avoiding template to help you identify admissions DES to set patient unplanned admissions DES which condition specific goals. to set patient goals. plans the patient needs. Click on future care Signpost patients (where Signpost patients (where planning appropriate) to appropriate) to Click on Patient Goals support on the support on and set goals relating to Health in Herts webpages. the Health in Herts webpages. physical health with patient Signpost patients (where appropriate) to
3) Number offered/referred to associated interventions 4) Number with personalised goals and action plan for physical health in place Practices to repeat audit/data submission at year end showing improvement in physical health checks for people with SMI at the end of the year. Sharing the personalised goals and action plan Copy to patient and copy to HPFT/other professionals where appropriate Next Steps Refer to the HPFT share care protocol for physical health checks for people with SMI – Read codes SystmOne (CTV3 Code) EMIS & Vision (v2 Code) SNOMED Concept ID Code (SNOMED replaces Read CTV3 & v2 in all GP systems during 2018) Mental health annual physical examination done XaJON 9H9 408404002 Goals and action plan Goal identification Ua1LR 67L 225294001 Review of Patient Goals XaXfH 8CMX 775501000000108 Care Plan documentation SystmOne - Ardens Users SystmOne - Non Ardens Users EMIS Web Use the relevant condition specific templates to capture key information. Use the LTC review template to help you identify which condition specific plans the patient needs. Click on future care planning Click on Patient Goals and set goals relating to physical health with patient Signpost patients (where appropriate) to Continue to use the same Personal Care Plan that you used for 17/18 and have used in previous years as part of the avoiding unplanned admissions DES to set patient goals. Signpost patients (where appropriate) to support on the Health in Herts webpages. Continue to use the same Personal Care Plan that you used for 17/18 and have used in previous as part of the avoiding unplanned admissions DES to set patient goals. Signpost patients (where appropriate) to support on the Health in Herts webpages.