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People with long‐term, severe mental health problems are at higher risk of premature death linked to lifestyle. They are more likely to smoke, to be overweight, and to take little or no exercise. Their physical health needs also tend notoriously to be neglected by the health services. Diane Crone and colleagues conducted a comparative survey of the health behaviours and lifestyles of mental health service users in one city in the south west, and found much cause for concern.

People with long‐term mental health problems have a considerably higher risk of physical illness and premature mortality than the general population. This paper describes a survey of lifestyle behaviours and health perceptions of people with severe mental illness (SMI) living in Gloucester. Findings were compared with data from the general population of Gloucestershire to reveal significant health differences that are currently being addressed through a multi‐agency health alliance established to initiate targeted health promoting opportunities for people with severe mental illness in the community.