Severe Mental Illness (SMI) Physical Health
Checklist
This checklist aligns with the NHS standard core elements for an annual SMI physical health check. Use this
document to prepare for your GP appointment and track your measurements.
- Core Clinical Measurements
Core Metric
Target Focus & Details
Your Results / Notes
Blood Pressure
Pulse Rate
Weight & BMI
Blood Glucose
Checks cardiovascular health and
hypertension risk.
Measures heart rhythm and resting heart
rate accuracy.
Monitors weight changes, BMI, and waist
circumference.
Cholesterol profile check (HDL, LDL, and
triglycerides).
HbA1c test to screen for diabetes or
pre-diabetes.
Blood Lipids - Lifestyle & Behaviour Screening
Assessment Area
Key Discussion Points
Smoking Status
Alcohol Intake
Substance Use
Current tobacco use and referral to
smoking cessation support.
Weekly units monitoring and health risk
assessment.
Action Plan / Support Needed
Discussion regarding nutritional health
and physical activity levels.
Review of any non-prescribed substance
use or dependency.
Diet & Exercise - Medication & Practical Support
Check Area
Description
Status / Complete
Medication Review
Specific Drug
Monitoring
Evaluating efficacy, side effects (e.g.,
metabolic changes), and adherence.
Required lithium, antipsychotic, or
anticonvulsant blood level tracking.
Cancer Screening Links Routine reminders for cervical, breast, or
bowel screening where eligible.
Follow-up Plan
Agreeing on a timeline for results,
changes to treatment, or lifestyle referrals.
This is for informational purposes only. For medical advice or diagnosis, consult a professional. AI responses may include mistakes
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