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Physical Health Monitoring and GP Services in a Low

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									Physical Health Monitoring and
GP Services in a Low Secure
Unit

Dr Gemma Fleming
Dr Jackie Drummond

Blair Unit, Royal Cornhill Hospital, Aberdeen
Blair Unit

¡   3 ward low secure unit
¡   Forensic acute and rehabilitation
    (24 beds)
¡   IPCU (11 beds, 2 female forensic)
¡   Grampian, Orkney, Shetland
¡   Population 500,000
Mearns Suite

¡   In-hospital clinic – all Grampian
    patients
¡   8 different clinics
¡   ECT, clozapine, depot, podiatry,
    dental, phlebotomy, ECG, optician
¡   110 patients in depot clinic
¡   174 patients in clozapine clinic
Mearns Suite
¡   2 full time and 1 part time trained
    nursing staff
¡   Part time nursing
    assistant/phlebotomist
¡   Part time phlebotomist
¡   Available 4 ½ days per week (8am-
    4pm)

¡   Award winning service!
GP Services

¡   GP input to all wards in unit
¡   Patients remain registered with own
    GPs
¡   Three sessions per week
¡   Physical health
¡   Summaries for case reviews
¡   Model
GP Role
¡   Consistency of care
¡   Easy access to GP services
    l   Encourages people to engage with GP
    l   Advisory role for junior medical staff
¡   Liaison between unit GP and
    registered GP
¡   Ongoing appraisal and access to GP
    training ensures up to date
    knowledge and practice
Annual Health Checks

¡   MWC requirement for clearly
    documented health checks
¡   Developing annual review system in
    rehabilitation ward
¡   Richard.legg@nhs.net

								
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