| View expressed by * | |||
Perceived advantages of delivering CHD screening in primary care | CMHT | GP | SU | N |
• GPs possess medical expertise in CHD screening and can provide appropriate management of results |
|
| Â | 14 |
• It is more normalising/less stigmatising to attend primary care for screening |
| Â |
| 13 |
• Patients attend the GP practice regularly to pick up their prescriptions, which would offer the opportunity for screening |
|
| Â | 7 |
• Clinical systems and equipment are all in place to provide screening |
|
| Â | 6 |
• Patients have better links, trust and a longer history with their GP, which would enhance the uptake of screening |
| Â |
| 6 |
• GPs can access other relevant physical health services more easily than the CMHT – they are the 'gate keepers' |
|
| Â | 6 |
• Geographically, GPs are often closer than the CMHT |
| Â |
| 6 |
• It would allow the CMHT to focus on mental health issues |
| Â | Â | 2 |
• It would engage clients with their GP and encourage people with SMI to be less reliant on mental health services |
| Â | Â | 2 |
Perceived disadvantages | Â | Â | Â | Â |
• Lack of resources to provide this service due to GP's high workload |
|
|
| 17 |
• High rates of non-attendance to general practice screening |
|
| Â | 8 |
• Specialist SMI screening clinics in primary care could be stigmatising |
|
|
| 8 |
• Communication from primary to secondary care is very rare so psychiatrists won't receive screening results to inform prescribing |
| Â |
| 7 |
• Some patients get anxious about attending primary care and the more severely ill are often not in contact – they will not receive screening |
|
|
| 7 |
• Some GPs may be negative towards or disinterested in people with SMI and offer a poor service to them – it could be a 'patchy' service |
| Â |
| 5 |
• Some GP staff may lack confidence in working with people with SMI |
|
| Â | 4 |
• It maintains a split between physical health (at GP) and mental health (in psychiatry), preventing the person from being seen holistically |
| Â | Â | 1 |
• Lack of specialist knowledge of possible metabolic effects of antipsychotics amongst GPs |
|
| Â | 1 |
• If screening revealed a possible adverse effect of antipsychotics, such as diabetes, GP may lack the confidence to alter the antipsychotic |
| Â | Â | 1 |
• It can be difficult to get an appointment with the GP |  |  |
| 1 |