To ask the Scottish Executive what measures NHS Scotland has introduced to ensure that people with severe mental illness are encouraged to join programmes to combat obesity, increase exercise or promote smoking cessation, in light of the levels of physical health difficulties among this group, evidence that those with severe mental illness live ten years less than other people and Rethink's current campaign highlighting mental health as something which should feature in mainstream public health reforms.
The Scottish Executive is committedto reducing the Health Inequalities experienced by people with mental health problems.NHS Health Scotland’s priorities for 2006-07 as outlined in their BusinessPlan mirror ministerial priorities. Within this the main projects this year arefocussed on tackling health inequalities (Prevention 2010) and also on key topicsof tobacco, physical activity, food and health and alcohol. We expect NHS HealthScotland to underline and underpin each of these priority programmes and for mentalhealth issues to be woven into the delivery of these programmes.
Itis widely recognised that physical activity can have a positive effect on mentalhealth and wellbeing as well as on physical health. The Scottish Executive’s HealthDepartment (SEHD) has funded Paths to Health to a total of over £1.75 million inthe past three years. The Paths To Health project is a leading delivery agent forScotland’s Physical Activity Strategy and its success continues to grow. The projecthas now supported over 90 local schemes to develop walking initiatives in communities,many of which are in deprived areas. Of these 90 schemes, 10 are specifically designatedas mental health recovery groups.
Throughfunding provided by the Scottish Executive to ASH (Scotland), anumber of pilot projects are currently underway in the mental health arena whichwill help to establish best practice in smoking cessation. In addition, a nationalframework for moving mental health services towards being smoke-free is currentlybeing developed. It is intended this framework will deal with the specific issuesfaced by mental health services and their users, particularly in relation to smokingcessation.
The Quality and Outcomes Framework (QOF) of the new General MedicalServices Contract from April 2006 rewards General Practices for providing an annualreview of all patients with severe mental illness. This includes their physicalhealth needs and specifies smoking, weight checks and other risk factors for CardiovascularDisease and other illnesses. GP practices are specifically required to ensure thatthe patient is offered appropriate health promotion and prevention advice, dependingon their needs. This indicator has been introduced in response to concerns aboutthe extra physical health needs of people with severe mental illness. In addition,other indicators in the same part of the QOF encourage practices to chase up peoplewho do not respond to invitations for this check, as well as ensuring they havea care plan or similar, to optimise care for their mental health.
The Health Department is providing£47,000 to support a project being undertaken at The State Hospital to reduce levelsof obesity and improve the physical and mental health of patients by facilitatinga healthier lifestyle through therapeutic activity and a healthy diet. This is afive year research project being piloted in one ward commencing January 2006. Followingevaluation of the pilot, it is the intention to roll the programme out to all wardsduring the subsequent four years.