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
Protocol serial number	PSI A-88
Sponsor	Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Funder	NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

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

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title
Study objectives	Service 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) studied	Mental and behavioural disorders: Schizophrenia and other psychoses
Intervention	1. Locally negotiated service level agreements 2. Standard care
Intervention type	Other
Primary outcome measure(s)	The 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.
Key secondary outcome measure(s)	Not provided at time of registration
Completion date	01/10/2000

Participant type(s)	Patient
Age group	Not Specified
Sex	Not Specified
Key inclusion criteria	Practices: 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 criteria	Not provided at time of registration
Date of first enrolment	01/02/1997
Date of final enrolment	01/10/2000

Department of General Practice

London
SE11 6SP
United Kingdom

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

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