• Patient initiation with the metabolic clinic i.e. through the government mental health service • Enrolment process • Case load, i.e. how many patients can be managed, workload implications, time per consultation • Management of patients’ issues at the lowest appropriate level (i.e. lowest primary health care level and minimum level of service) • Service components provided by nurse practitioner vs pharmacist vs pharmacy assistant • Process involved in outcomes reporting [17] • Referrals and associated communication [23] • Follow-up of the patient [23] • Consultation fee (eligibility for funded services vs fee-for service) • Data recorded at different points of consultation [22] • Baseline data collection [22] • Mode of documentation [23] • Monitoring of patient improvement and evaluation of progression [21] | • Qualitative data (free-text notes, reflections) [18] • Patient compliance with medication, relative to adverse effects experienced, pill counting and dispensing or supply intervals [18] • Improvement in overall health status of patient (physical and mental health) • Data collected (e.g. biometric parameters, subjective assessments, patients’ concerns) [17] • Review of the data/readings obtained [18] | • Patient privacy and confidentiality [21] • Treatment plan customisation for each patient [20] • Level of patient assessment. Is it only based on improving physical symptoms (confirmed by lab tests), or does it also include psychological and emotional improvement? [20, 24] • Patient education regarding their condition, treatment and medication side effects [20] • Simplicity of information (verbal and written) provided to patients (review sources of information) [20] • Up-to-date record keeping [20] • Level of pharmacists’ communication with other health professionals [20, 21] • Staff understanding that mental health patients may feel stigmatised and hence treat patients in an understanding manner (staff completing training specific to mental health) [20] • Pharmacist involvement in professional development courses to enhance knowledge in providing the disease state management service [21] • Promotional activities undertaken in relation to mental health, as a form of encouragement for current patients [20] • Improvements in the metabolic clinic service |