A physician associate-led clinic for people with severe mental illness in the United Kingdom.

Objective: To evaluate an enhanced physical health clinic led by physician associates (PAs) for patients with severe mental illness.

Methods: A guidance and data collection tool was developed to support and document the outcomes of the PA-led enhanced physical health clinic.

Results: The clinic led to diagnoses of diabetes, hyperlipidemia, and hematologic abnormalities.

Specialist adult ADHD clinics in East Anglia: service evaluation and audit of NICE guideline compliance.

Aims and method To measure compliance with National Institute for Health and Care Excellence (NICE) recommendations in two adult attention-deficit hyperactivity disorder (ADHD) clinics and to guide further service development. We audited the case notes of 150 patients referred to adult ADHD clinics in East Anglia in 2010-2011 against NICE standards using an adapted version of the ADHD audit support tool. Results We found good compliance with NICE standards for diagnosis, assessment and pharmacological treatment of adult ADHD.

Risk factors in neuroleptic malignant syndrome.

Neuroleptic malignant syndrome (NMS) is an uncommon but potentially serious idiosyncratic response to neuroleptic antipsychotics. It usually affects young males, but the risk has been seen to increase with certain factors including the administration practices of antipsychotic neuroleptics in these individuals. Even though no predictors for NMS are yet known, this article highlights the findings on certain risk factors as seen from a series of fifteen patients who developed NMS.