Audit of the Physical Health Care of Substance Misusers in Lambeth

For patients from LAMBETH or attending services in LAMBETH: 1) To determine the prevalence of long-term chronic health conditions among substance misusers; 2) To determine the association between long-term chronic health conditions and substance misuse; 3) To determine the care pathways for substance misusers with long-term chronic health conditions. Analysis of health care records: Retrospective analysis of linked service data from South London and the Maudsley NHS Foundation Trust (SLAM) will be conducted to determine the prevalence of long-term chronic health conditions and the care pathways for patients attending Lambeth services with a primary or secondary diagnosis of alcohol or drug abuse during 2008-2013. This will be made possible using the Case Register Interactive Search tool (CRIS), a dataset unique to SLAM. The SLAM Patient Journey System (PJS) is a bespoke, single, integrated electronic clinical record used across all Trust services. PJS is a comprehensive record of all clinical information recorded throughout patients’ journeys through Trust services, including demographic and contact information, dates and other details of referrals and transfers, detailed clinical assessments, care plans and medication, clinical activity and reviews. This system of fully electronic clinical records, will allow in-depth secondary analysis of both numerical, string and free text data, whilst preserving anonymity through technical and procedural safeguards[1]. The role of mental health co-morbidity and the wider determinants of health in uptake of physical health services will also be considered in this analysis.