It is nationally recognised that service users with a Mental Health condition or Learning Disability are more likely to also have physical health issues and residing in inpatient services for long periods of time can result in service user's being more likely to develop long term physical health conditions. A number of service user's within each of the units covered by the service level agreement will have been admitted from outside of the Cheshire footprint and therefore will not be registered with a local GP. This service provision allows access to ongoing physical health monitoring/ screening. General Medical Services are necessary for our secure mental health service users and we are happy with the service that Readesmoor GP practice have provided to date, we have no issues and are happy to continue with the Provider for the next year via Direct Award C