Working with Primary Care Networks and GP practices, the service finds individuals on SMI registers who haven’t had a health check in the last three years. It then contacts them directly by phone, letter, or face-to-face to provide information, support, and encouragement to attend.
People with SMI face some of the worst health inequalities in England, with a life expectancy 15–20 years shorter than the general population, mainly due to preventable physical health issues. This service plays a vital role in narrowing that gap, supporting the national NHS Long Term Plan and Core20PLUS5 health inequality targets.
By helping people understand their health, access checks, and develop personal health plans, the South Cumbria outreach team empowers individuals to manage long-term conditions, enhance their quality of life, and connect with local services. It also strengthens collaboration across healthcare and community services, helping to reduce stigma and create more integrated, person-centred care for people living with SMI.
