Physical health checks for people living with schizophrenia, bipolar disorder or psychosis
What is an annual physical health check for people with a diagnosis of schizophrenia, bipolar disorder or psychosis?
This is a free health check you can have once a year at your GP surgery if you have schizophrenia, bipolar disorder or psychosis.
Find out more by watching the short video below.
Credit: Birmingham and Solihull Mental Health Foundation Trust
Why these checks matter
Some people with conditions like schizophrenia, bipolar disorder or psychosis can be more likely to have physical health problems. Having a health check every year helps to spot any problems early, so you can get the right support as soon as possible.
A few simple checks and a friendly chat about your health can help get you the support you need. This might be advice on stopping smoking, being active, eating well, your medication, or getting extra help.
Many people find the check reassuring and helpful, even when nothing new is found.
“Because of my mental health problem, I got offered a physical health check. I had some doubts about whether it was worth me going, but I’m glad I did – although it found nothing extra wrong with me, it reassured me that I’m doing ok." - Person with Lived Experience – Lincolnshire
"It’s important because it checks whether we are at a high risk of things like heart disease, diabetes or stroke, so that if we are, things can be done before the situation gets worse. I’d definitely encourage anyone who is able to have one to come forward. It was straightforward and supportive.” - Person with Lived Experience – Lincolnshire
What happens in a physical health check for people with schizophrenia, bipolar disorder or psychosis?
Your appointment is usually done by a GP, nurse or healthcare assistant. It may include:
- A chat about your mental and physical health
- An offer to check your weight, height and blood pressure
- An offer of a blood test (to check cholesterol or blood sugar levels)
- A discussion about your medication and any side effects
- Questions about your health and wellbeing
- Advice or help to get extra support if it would be helpful
The appointments usually last 30 to 45 minutes. You can bring a friend, carer or someone you trust, if that helps you feel more comfortable.
You do not need to have any checks you don't want to have.
How do I get one?
If you’re eligible, your GP surgery should send you an invitation each year. If you haven’t received an invite and think you should have one, you can:
- Contact your GP surgery and ask for an appointment.
- Ask a friend, family member or carer to contact the surgery for you.
- Talk to your mental health team or care coordinator — they may be able to help you arrange it.
Questions you may want to ask at your appointment
- What do my results mean?
- Are my medications affecting my physical health?
- Are there any small changes I could make to feel healthier?
- Do I need any follow-up appointments or tests?
- What support is available to help me stay healthy?
- Who can I talk to if I need more help later?
Frequently asked questions
How long does the appointment take?
Usually about 30–45 minutes. This gives time to talk and do any checks.
What if I’m nervous about going?
Many people feel nervous before a health check — that’s normal. You can bring someone for support. You can also speak to your GP surgery before your appointment to as for things that may help you (e.g., times that suit you, longer appointment, quiet waiting area or anything else that will make things easier for you).
Is this the same as a standard NHS Health Check?
No — the Physical Health Check for people with a diagnosis of schizophrenia, bipolar disorder or psychosis is different from the standard NHS Health Check offered to adults aged 40–74, or reviews such as medication monitoring.
This check looks at the things that are especially important for your health.
What if I haven’t been invited?
Contact your GP surgery. You’re entitled to this check every year if you meet the criteria.
Is the check compulsory?
No — the check is optional. However, it can provide reassurance and help find health problems early, even if you feel well.
What happens if something is found?
Your healthcare professional will explain the results and talk to you about what happens next, which may include lifestyle advice, follow-up tests or a referral to another service.
We want to thank Birmingham and Solihull Mental Health NHS Foundation Trust for allowing us to use their video to support our work with people in Lincolnshire.
Self-Care and Accessing Support
Discover practical tips to improve your mental wellbeing and resilience with simple self-care ideas, and find out how to access local mental health support when you need it.
Self-Care and Accessing Support
Annual health check for people with severe mental health conditions
Find out more about your free Annual Health Check from the NHS website if you live with a serious mental illness and how it supports your physical and mental wellbeing.
Annual health check for people with severe mental health conditions
Your Rights
Find out more about your rights when accessing mental health services and how to raise concerns or feedback with your care team.
