Question to the Department of Health and Social Care:

To ask Her Majesty's Government whether NHS guidelines require periodic reviews to be conducted in cases of patients with severe mental ill-health; and if so, whether both physical and mental health issues are reviewed at the same time.

In general, mental health trusts use the Care Programme Approach (CPA), which is a framework for people under the care of secondary mental health services at high risk or with multiple, complex needs that require planning and co-ordination across different services. Government guidance on the CPA published in 2008 recommends that all patients placed on the CPA should receive a formal review at least every 12 months. Many trusts operate a policy of at least six-monthly reviews.

In 2018/19, NHS England is developing a new framework for adult non-specialist community mental health services, which will set out updated recommendations on the co-ordination, planning and reviewing of physical and mental health care.