A Randomised Controlled Trial of service level agreements between GPs and secondary services for the care of the long term mentally ill.

ISRCTN ISRCTN14818560
DOI https://doi.org/10.1186/ISRCTN14818560
Secondary identifying numbers PSI A-88
Submission date
23/01/2004
Registration date
23/01/2004
Last edited
03/12/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Richard Byng
Scientific

Department of General Practice
UMDS (Guy's and St Thomas')
80 Kennington Road
London
SE11 6SP
United Kingdom

Phone +44 (0)20 7735 8881

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeNot Specified
Scientific title
Study objectivesService level agreements (SLAs) are a means of improving communication and collaboration between primary and secondary care. They reflect local needs and resources and specify the services to be provided, including guidelines for communication, referral and shared care. This study will use a randomised controlled trial to examine the effect of locally negotiated SLAs on the health and quality of care of the long term mentally ill.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedMental and behavioural disorders: Schizophrenia and other psychoses
Intervention1. Locally negotiated service level agreements
2. Standard care
Intervention typeOther
Primary outcome measureThe principal outcome measures will include levels of disability, mental ill health, self care and quality of life. Global Assessment of Functioning (GAF), Health of the Nation Outcome Scale (HoNOS), Verona Satisfaction Scales (VECS and VSSS), GHQ for patient carers, Client Service Receipt Interview (CSRI) to assess cost, questionnaires to evaluate staff views on the clarity of roles and attitudes to the primary/secondary care interface.
Secondary outcome measuresNot provided at time of registration
Overall study start date01/02/1997
Completion date01/10/2000

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participantsNot provided at time of registration
Key inclusion criteriaPractices: General practices with a majority of their patients within the Mental Health Trust boundaries, with a computerised repeat prescribing system.
Patients: Patients with long term mental illness based on the criteria of duration, diagnosis and disability. Patients with diagnoses of schizophrenia and related disorders and bipolar affective disorder will be included, in addition to those with chronic relapsing depression or on prophylactic antidepressants for more than six months. Those disabled by chronic neurotic disorders will also be included.
Key exclusion criteriaNot provided at time of registration
Date of first enrolment01/02/1997
Date of final enrolment01/10/2000

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Department of General Practice
London
SE11 6SP
United Kingdom

Sponsor information

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.doh.gov.uk

Funders

Funder type

Government

NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2004 Yes No