| Source of record | UK Clinical Trials Gateway |
| ISRCTN | ISRCTN14818560 |
| Date ISRCTN assigned | 23/01/2004 |
| Local reference number(s) | PSI A-88 |
| Public title | A Randomised Controlled Trial of service level agreements between GPs and secondary services for the care of the long term mentally ill. |
| Scientific title |
|
| Acronym | N/A |
| Disease/condition/study domain | Mental and behavioural disorders: Schizophrenia and other psychoses |
| Study hypothesis | 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. |
| Design/methodology | Randomised controlled trial |
| Research ethics review | Not provided at time of registration |
| Countries of trial | United Kingdom |
| Participants - 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. |
| Participants - exclusion criteria | Not provided at time of registration |
| Patient information material |
|
| Anticipated start date | 01/02/1997 |
| Anticipated end date | 01/10/2000 |
| Status of trial | Completed |
| Target number of participants | Not provided at time of registration |
| Interventions | i. Locally negotiated service level agreements
ii. Standard care |
| 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. |
| Secondary outcome measure(s) | Not provided at time of registration |
| Sources of funding | NHS Primary and Secondary Care Interface National Research and Development Programme |
| Sponsor name | Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK) |
| Sponsor details | The Department of Health
Richmond House
79 Whitehall
London
United Kingdom
SW1A 2NL |
| Sponsor telephone | +44 (0)20 7307 2622 |
| Sponsor fax | +44 (0)20 7307 2623 |
| Sponsor email | dhmail@doh.gsi.org.uk |
| Sponsor website | http://www.doh.gov.uk |
| Contact name | Dr Richard Byng |
| Contact details | Department of General Practice
UMDS (Guy's and St Thomas')
80 Kennington Road
London
United Kingdom
SE11 6SP |
| Contact telephone | +44 020 7735 8881 |
| Contact fax | +44 020 7793 7232 |
| More information | For more up-to-date information please go to the ISRCTN link below. |
| Link to record in ISRCTN Register | ISRCTN14818560 |
| Date last extracted from ISRCTN register | 17/04/2008 |
