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Physical Health Monitoring and GP Services in a Low Secure Unit. Dr Gemma Fleming Dr Jackie Drummond Blair Unit, Royal Cornhill Hospital, Aberdeen. Blair Unit. 3 ward low secure unit Forensic acute and rehabilitation (24 beds) IPCU (11 beds, 2 female forensic) Grampian, Orkney, Shetland
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Physical Health Monitoring and GP Services in a Low Secure Unit Dr Gemma Fleming Dr Jackie Drummond Blair Unit, Royal Cornhill Hospital, Aberdeen
Blair Unit • 3 ward low secure unit • Forensic acute and rehabilitation (24 beds) • IPCU (11 beds, 2 female forensic) • Grampian, Orkney, Shetland • Population 500,000
Mearns Suite • In-hospital clinic – all Grampian patients • 8 different clinics • ECT, clozapine, depot, podiatry, dental, phlebotomy, ECG, optician • 110 patients in depot clinic • 174 patients in clozapine clinic
Mearns Suite • 2 full time and 1 part time trained nursing staff • Part time nursing assistant/phlebotomist • Part time phlebotomist • Available 4 ½ days per week (8am-4pm) • Award winning service!
GP Services • GP input to all wards in unit • Patients remain registered with own GPs • Three sessions per week • Physical health • Summaries for case reviews • Model
GP Role • Consistency of care • Easy access to GP services • Encourages people to engage with GP • Advisory role for junior medical staff • Liaison between unit GP and registered GP • Ongoing appraisal and access to GP training ensures up to date knowledge and practice
Annual Health Checks • MWC requirement for clearly documented health checks • Developing annual review system in rehabilitation ward • Richard.legg@nhs.net