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
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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
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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
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2 full time and 1 part time trained
nursing staff
Part time nursing
assistant/phlebotomist
Part time phlebotomist
Available 4 ½ days per week (8am4pm)
Award winning service!
GP Services
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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
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Consistency of care
Easy access to GP services
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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
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MWC requirement for clearly
documented health checks
Developing annual review system in
rehabilitation ward
Richard.legg@nhs.net