There are two health informatic workstreams: data-based research with Urgent Care theme colleagues, to understand and address disproportionate use of urgent and emergency care by people with serious mental illness; and implementation of patient-reported outcome measures (PROMs), to improve community mental healthcare.
The former builds on findings that people with SMI are overrepresented across acute and urgent care pathways from NHS111 to acute hospital admission. This group was rated as having both high and low urgent care needs, and we will consider possible explanations including diagnostic overshadowing. The second workstream builds on cross theme YHARC work to promote and support use of ReQoL, which was chosen by NHSE as one of 3 mandated PROMs for use by CMHTs. We aim to evaluate the PROMs implementation programme and identify conditions for successful collection and use of PROM data in community mental health services, subject to the outcome of a research funding application.
