UCLP-Primrose pathway

Primrose-A is an evidence-based approach to delivering intensive tailored support for people with severe mental illness. It is a primary care service where individuals are supported to build behavioural strategies to prevent relapse and improve their cardiovascular health. The service includes up to eight 30-minute sessions with a nurse and four 60-minute sessions with a peer coach (individuals with lived experience of mental health problems) over six months.

For more information, see the Primrose-A page.

The UCLPartners Proactive Care Frameworks uses stratification to identify patients who need priority management and deploy the wider primary care workforce to provide structured support for patient education, self-management, and behaviour change. The framework is designed so that those patients with the greatest clinical risk from physical risk factors are prioritised so that their treatment can be optimised. Watch Programme Director and GP Dr Matt Kearney introduce UCLPartners Proactive Care Frameworks below.

Bringing Primrose-A and the Proactive Care Frameworks together

UCLP-Primrose has been developed to maximise the benefits of the SMI physical health check and to help people with SMI to receive the best care for their physical health as well as their mental health. Alongside this, patients receive structured support for education and self-management, and holistic support for wider health and social needs. 

Below is the resulting clinical pathway. 

All materials to support with implementation and delivery are on the UCLP website. 

UCLP-PRIMROSE training is now included in NHS England guidance for integrated care systems, for Improving the physical health of people living with severe mental illness. The online training can now be accessed via the NHS Learning Hub.