Severe mental illness

If you have a severe mental illness, you are at a higher risk of having poor physical health and a shorter life expectancy. The medication you take for your mental health can impact on your physical health and can have side effects like weight gain.


Below is a summary of the standard for severe mental illness (SMI). Please click the PDF below to read the full explanation and additional details.


What you should expect from your GP practice: 


  • If you are on the SMI register, you will have an annual physical health check

  • You will be offered interventions for any abnormalities identified during the annual physical health check in accordance with NICE guidelines for that condition

  • Where appropriate, you will be offered referral to combined healthy eating and physical activity programmes and help to stop smoking

  • If you do not attend your appointment for your physical health check, your GP practice will be expected to assertively follow up non-attendance

  • If you are on Atypical antipsychotic medication, your physical health will be checked at certain times in primary care

  • Your GP practice will be in contact with secondary care (ideally your care co-ordinator) if you do not attend your physical health check and if any abnormalities are detected which mental health services should be made aware of e.g. hyperprolactinaemia, diabetes, high blood pressure etc


Download full details of Standard 5.2 Severe Mental Illness