NHS Health Scotland


Outcome Indicators
1.4 Physical health checks should be offered to people with severe and enduring mental health problems and people over 40 living in areas of deprivation.

Activities to promote healthy lifestyle behaviours need to be targeted at the whole populationS, people with or at risk of mental health problems, pregnant women and those in deprived communities.


The association between schizophrenia and poor physical health is well established. Poor health results in higher standardised mortality rates (SMR) and increased morbidity for individuals with schizophrenia.[1]

There is growing concern about the physical health of service users with bipolar disorder. In addition to high mortality (SMR) from suicide and possibly accidents, there is increasing evidence of a doubling of the SMR for cardiovascular mortality and increase mortality for pulmonary embolism and data from the USA suggests that the prevalence of a range of diseases is raised.[2]

People living in deprived communities have higher levels of mortality from cardio vascular disease and at greater risk of mental health problems.[3]


  1. NICE (2009). NICE clinical guideline 82: Schizophrenia: Core interventions in the treatment and management of schizophrenia in adults in primary and secondary care. NICE: London.

  2. NICE (2006). NICE clinical guideline 38: Bipolar disorder: The management of bipolar disorder in adults, children and adolescents, in primary and secondary care. NICE: London.

  3. Scottish Government (2008). Equally Well: Report of the ministerial task force on health inequalities. Scottish Government: Edinburgh.