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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

Integrated Physical Health Pathway

Other resources


The Lester UK Adaptation of the positive cardiometabolic health resource


Printed copies

To request printed copies of the Lester tool, please email



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.



Other resources

Resources on physical health

  • The Integrated Physical Health Pathway 2014 , 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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papers and links in liaison psychiatry


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