SMI health checks

SMI health checks help people living with severe mental illness monitor their physical health and wellbeing. These checks are important because people with conditions such as schizophrenia or bipolar disorder have a higher risk of developing physical health problems.

If you have severe mental illness (SMI), you are entitled to a free annual physical health check. This check helps identify any health concerns early and ensures you receive the right support.

Why SMI health checks are important

Looking after your physical health is an important part of managing severe mental illness. Some medicines, lifestyle factors, and health conditions can increase your risk of:

• heart disease
• stroke
• diabetes
• high blood pressure
• high cholesterol

Regular SMI health checks help detect problems early and support you to stay well.

What happens during an SMI health check

A trained healthcare professional will carry out your health check. This may take place at:

• your GP practice
• a community clinic
• your community mental health team

During your check, the healthcare professional may:

• measure your weight and waist size
• check your blood pressure
• take a blood test to check cholesterol and blood sugar levels
• review your current medicines

These checks help assess your overall physical health.

Talking about your health and wellbeing

Your health check also provides an opportunity to discuss your wider health and support needs.

You may talk about:

• side effects of medication
• smoking, alcohol, or substance use
• diet and physical activity
• your mental wellbeing
• support you receive at home
• ways to improve your overall health

Your healthcare professional can provide advice and refer you to additional services if needed.

How to access your annual SMI health check

If you have severe mental illness, your GP practice should invite you for an annual health check. If you have not received an invitation, you can contact your GP practice to request one.

These checks are free and form part of your NHS care.

Easy Read guide for patients

An Easy Read guide explains SMI health checks in a clear and accessible format. This guide has been developed with people who have lived experience of severe mental illness and their carers.

Further information and support

Your healthcare professional can provide advice on improving your physical health. They can also connect you with local services and support organisations.