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The Royal College of Psychiatrists Improving the lives of people with mental illness

National Audit of Schizophrenia

NAS Resources


The Lester UK Adaptation of the Positive Cardiometabolic Health Resource (CMH-resource) 2014 update

National Audit of Schizophrenia round 2 Action Planning Toolkit

Integrated Physical Health Pathway

Other resources


The Lester UK Adaptation of the positive cardiometabolic health resource


Printed copies

Printed copies of the resource are available for Mental Heath professionals and can be requested from     


Download a PDF of the resource:                                    

Positive Cardiometabolic Health Resource



The Lester Positive Cardiometabolic Health Resource provides practitioners with a simple assessment and intervention framework to protect the cardiovascular and metabolic health of patients with severe mental illness receiving antipsychotic medication.

Adapted for UK use from an original Australian resource in a process led by the late Professor Helen Lester, this resource has been produced through collaboration between the Royal Colleges of General Practitioners and of Psychiatrists, supported by NAS.  The Lester resource was recently updated with NHS England and Public Health England and is being used in the current NHS mental health CQUIN. Further information is available on this website.  


Endorsement by the National Institute for Health and Care Excellence  (NICE)

This Cardiometabolic Health Resource supports the recommendations relating to

monitoring physical health in the NICE guidelines on psychosis and schizophrenia in adults

( and young people (

 In addition it also supports the statement about assessing physical health in the NICE quality

standard for psychosis and schizophrenia in adults (

NICE, November 2015



Download a PDF of the postcard


nas lester postcard


The NAS service user reference group have developed this postcard prompt to empower service users to approach their GP surgery or Mental Health Team to ask how the Lester resource could help improve their physical health. Clinical staff such as community psychiatric nurses and primary care nurses may find the Lester Postcard helpful in encouraging their patients and family members to seek appropriate help.


A poster on this Lester Postcard prompt, in conjunction with the Lester resource recently won the HQIP 2014 award for the category 'Creating conditions for local improvement'. For further details, see our Publications page.




NATional audit of schizophrenia round 2 action planning toolkit

This toolkit has been provided for Trusts and Health Boards to facilitate local action planning to improve the care that people with a diagnosis of schizophrenia or schizoaffective disorder receive from your organisation. Suggested headings have been included in the template, but the content is editable. You may find it useful to include areas highlighted as particular strengths or areas for improvement within your organisation and/or include the recommendations made in the national report.


We encourage sharing of good practice to improve the standard of care for people with schizophrenia. We would therefore like you to forward your completed worksheet to us at We also suggest that you disseminate these widely within your organisation as well as on your web pages. NAS and Rethink Mental Illness will be monitoring Trust websites for local action plans.


local action planning.

NAS 2 Trust Action Planning Toolkit

Download a Word version of the action planning template


Other resources

Resources on physical health

  • The Integrated Physical Health Pathway, developed by Rethink Mental Illness, is a resource that supports health professionals to coordinate physical health monitoring for people affected by mental illness and ensure information is communicated effectively between services. The resource was designed in collaboration with the Royal College of GPs, the Royal College of Nursing and the Royal College of Psychiatrists. It sets out a template for services across primary and secondary care to work together to ensure the physical health needs of people affected by mental illness are identified and addressed. Further resources and information can be found at
  • The Healthy Active Lives (HeAL) leaflet on 'Keeping the body in mind in youth with psychosis' is aimed at prescribers, particularly those responsible for prescribing for first episode psychosis.
  • Rethink Mental Illness have a webpage on physical health. This page also includes links to download their Physical Health Check tool.
  • 'Essentials of Physical Health in Psychiatry' book.
  • Physical health monitoring in primary care:

Resources on prescribing

Resources for service users and carers

Resources on clinical audit

  • The Healthcare Quality Improvement Partnership (HQIP) have developed a number of useful resources on clinical audit, including some aimed at engaging clinicians.

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Where next...

papers and links in liaison psychiatry


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