Identifying who is at risk and examining patterns of care

Study title: Improving diabetes outcomes for people with severe mental illness: a longitudinal observational study of patients in England

Study duration: From September 2017

In this study we will use patient data obtained from electronic health records to find out which patients with severe mental illness (SMI) are more likely to develop diabetes and have more complications from diabetes (such as blindness, kidney problems, strokes, and death), and why this is the case, so that we can identify ways to improve their diabetes care. 

Importantly, we will be interviewing people who live with SMI and diabetes to find out what it is like to live with these conditions on a daily basis and to gain insights into how they view healthcare interventions. We will also be interviewing family members and healthcare professionals who support people with SMI and diabetes to develop better understandings about how this patient group can be supported to live with these conditions.

We will also examine patterns (and costs) of diabetes care for this population, as currently very little is known about who supports diabetes in this patient group.

We are currently doing some preliminary work to look at the characteristics and care of patients with comorbid diabetes and SMI, using a dataset which contains around 1000 patients with both conditions.