Placement or allocation of a link worker for the practice |
Allocation prior to trial |
Allocation prior to first meeting with practice |
Allocation following initial meetings |
Integration of the link worker into the team |
Joint work on systems |
Development of trust in link workers' activity |
Discussion of clinical cases |
- in meetings |
- one to one |
- reviewed from register |
- reactively as problems arose |
Development of a disease register for LTMI |
Paper based register |
Register based on coded diagnoses on practice computer system |
Development of a database of key information about each patient with LTMI |
Use of externally developed data set |
In house development of clinical IT system to collect data |
Use of paper based recording sheet for key data |
Improvements in physical health care provision |
Recall of patients for physical health checks |
Improvements in proactive mental health care provision |
For patients with psychosis |
For patients with other long-term conditions |
Improvements in reactive mental health care provision |
For those under specialist care |
For those under primary care only |