UCLP-PRIMROSE

Uses

Benefits

Comparisons

Background

Evidence quality

Highlighted claims

• UCLP-PRIMROSE is an integrated, evidence-based care pathway that combines two prior innovations — PRIMROSE-A and the UCLPartners Proactive Care Frameworks — to reduce CVD risk and mental health relapse in people with SMI. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• The pathway was developed with people with lived experience and incorporates peer delivery, a feature found in only 6% of interventions reviewed in the third Lancet Psychiatry physical health commission. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• UCLP-PRIMROSE was designed to be delivered across primary and secondary care with voluntary sector involvement. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• Non-engagement outreach including home visits was implemented in only 6 of 24 practices, making it one of the least consistently delivered pathway elements. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• Implementation of UCLP-PRIMROSE was moderately successful, but full pathway delivery was not achieved consistently and the intervention did not become standard practice within the study timeframe. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• The pathway has since been recommended in national best practice guidance. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness
• A manual audit at site 4 found that the percentage of eligible patients prescribed a statin rose by 20% between the year without UCLP-PRIMROSE and the year with it. — Bridging the gap in the UK’s National Health Service integrated care systems: insights from a mixed methods implementation evaluation of UCLP-PRIMROSE, a care innovation to reduce physical health inequalities for people with severe mental illness