Information for investigators

Partners2Many people with a diagnosis of schizophrenia or bipolar disorder have minimal and poorly co-ordinated primary and specialist care. PARTNERS2 is a five year study which aims to develop and trial an innovative primary care based model of collaborative care for people with schizophrenia or bipolar disorder. PARTNERS2 aims to help primary care (GPs and Practices Nurses) and community mental health services (also called CMHTs) work more closely together by developing a system of collaborative care based in GP surgeries.

Workstream 1: Assessment of local care pathways and current services for people with severe mental illness...

Some localities in England are already discharging service users with severe mental illness into primary care. We know that alternative provision needs to be evidence based and clearly thought through or risk unintended consequences.

We will work with a Community Mental Health Team (CMHT) in each of our three localities (Birmingham, Lancashire and Devon) and, from secondary care and primary care notes, observe the care pathways of people with schizophrenia or bipolar disorder over the previous 24 months. By care pathway, we mean that we will record basic pre-defined structure, process and outcomes of care from routinely recorded data on each of the 100 individual service users in their notes, in each of the three CMHTs. This will describe the outline of care received.

A structured survey with clinical leads and team managers will also be carried out to help us to describe the process of current care for people with schizophrenia or bipolar disorder in a community based setting in the three geographical study sites. This will help us to better target those who could benefit from collaborative care and assess potential risk and safety issues.

If you are interested in any of the work described here, please contact us

Wokstream 2: Development of a core outcome set for use in mental health trials involving people with schizophrenia or bipolar disorder in a community based setting...

Randomised controlled trials can provide robust evidence to inform the clinical care of mental health patients. Outcome data from trials may help inform decisions regarding individual care and also at a national level informing health policy. Mental health trials often assess a wide range of outcomes that may not be relevant to all service users. Through this research we identify outcomes that are important to people with Schizophrenia and Bipolar disorder in a community setting and their carers. As the outcomes of interventions are also important to people responsible for clinical care, commissioning and researching the effectiveness of mental health services we will also ask clinicians, researchers and commissioners to be involved too. We will ask people about their views and opinions on outcomes using a focus group approach and search the literature to identify other potentially important outcomes. Participants will be asked to prioritise the most important outcomes through a series of surveys to produce a ‘core outcome set’ for use in future mental health trials. 

If you are interested in any of the work described here, please contact us

Workstream 3: Development of the system of collaborative care...

Collaborative care is the name given to a particular way of healthcare professionals working together and includes Psychiatrists General Practitioners (GPs), practice nurse (PNs), Community Psychiatric Nurses (CPNs), Psychologists and others. With collaborative care a ‘case manager’ (who might be a CPN) works with the service user to coordinate care delivery and ensures that all the different aspects of care a patient receives including psychological and physical care are brought together so the service user gets the most benefit. A key element of collaborative care is that the service user is recognized as being an expert in their condition and an important part of the team.

In this study, we will work with service users and case managers to organize care more effectively with GPs and other health and social care professionals. We will test a version of collaborative care and ask service users how they felt about the care they received within the model. We will also speak to GPs and other members of the healthcare team about their thoughts on carrying out the care package.

If you are interested in any of the work described here, please contact us