The importance of promoting physical health and improvements in physical health care for people with SMI has been highlighted for decades and yet there continues to be a lack of integrated physical and mental health care (World Health Organisation 2018). Stemming from previous government initiatives the NHS long-term plan published in January 2019 set out positive objectives in the model of NHS care (HS 2020). It has pledged over £20.5bn towards disease prevention and tapering the inequalities between people with SMI and the rest of the population. Due to the widening health inequality gap this (LTP) seeks to improve the long-standing work to co-ordinate local services (NHS 2020)The  NHS the long-term plan is ambitious but it is practical, giving people the best start in life and it  will ensure that 280 000 people living with severe mental health problems have their physical health needs met by 2023/24 and will further increase the number of people receiving physical health checks to an additional 110 000 to 390 000 checks delivered yearly (NHS 2020). However, the NHS LTP has faced its own challenges. The success of the plan depends on adequate NHS workforce and yet current staff shortages are worsening and could reach 250 000 in the next 10 years. Although there is a proposal of initiatives to tackle this backlog, the NHS has had a poor workforce planning   record in recent years