City and Hackney CCG has the fifth highest prevalence of serious mental illness in England, but last year used a collaborative approach to achieve the highest SMI physical health check coverage in the country.
The Primary Care Mental Health Alliance brings together GP practices, the secondary care mental health trust, healthcare informatics, Core Sport (for diet and exercise) and the CCG, to deliver and oversee physical health checks and follow up interventions for people with Serious Mental Illness (SMI).
The alliance structure has enabled people and data from different organisations to be integrated and has created a seamless pathway for physical health checks between primary and secondary care.