Lessons learned from England’s Health Checks Programme: using qualitative research to identify and share best practice

Ismail, Hanif; Kelly, Shona

doi:10.1186/s12875-015-0365-z

Cited by 17 publications

(63 citation statements)

References 11 publications

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“…Language and cultural issues have been reported previously by staff delivering NHS Health Checks as major barriers to engaging with minority ethnic groups . The Bristol telephone outreach intervention was intended, where possible, to match outreach caller cultural background and main language with that of the patient called, and our study included patients whose main language was not English where this had been achieved.…”

Section: Discussionmentioning

confidence: 99%

“…A rapid evidence synthesis found little data on behaviour change or referrals to lifestyle services linked to the NHS Health Check programme, and staff involved in delivery of NHS Health Checks in primary care reported difficulties in influencing people to make long‐standing changes to their lifestyles, and in accessing lifestyle services . Research with patients found that most had been given lifestyle advice as part of their NHS Health Check, but many had found this advice too simplistic or generic .…”

Section: Discussionmentioning

confidence: 99%

“…The clearest benefits identified in this research may be achievable with a simpler telephone outreach service—with calls made by primary care practice administrative staff providing information about, an invitation to, and an opportunity to book, an NHS Health Check. Qualitative research indicates that this is an approach some practices are already taking for patients who do not respond to a written invitation . It would thus be beneficial to pilot and evaluate a simplified telephone outreach intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Analyses were limited by high levels of missing ethnicity data in primary care practice records, with uptake significantly lower for those with this data missing . Qualitative research with staff delivering health checks found perceptions that people from black and minority ethnic groups were less likely to attend, with language and cultural issues seen as major barriers …”

Section: Introductionmentioning

confidence: 99%

“…The limited evidence on the effectiveness of invitations to NHS Health Checks by telephone suggests they may increase uptake compared with invitations by letter or may increase the number of health checks completed for patients from deprived areas or minority ethnic groups . Qualitative research with primary care staff delivering health checks found that some practices were using telephone calls to build on existing relationships with patients or to target those who had not responded to a written invitation . Qualitative research has also explored the involvement of community ambassadors/engagement workers to increase uptake in specific communities.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Patient experiences of telephone outreach to enhance uptake of NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study

Brangan

Stone

Chappell

et al. 2018

Health Expectations

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Background The NHS Health Checks preventative programme aims to reduce cardiovascular morbidity across England. To improve equity in uptake, telephone outreach was developed in Bristol, involving community workers telephoning patients amongst communities potentially at higher risk of cardiovascular disease and/or less likely to take up a written invitation, to engage them with NHS Health Checks. Where possible, caller cultural background/main language is matched with that of the patient called. The call includes an invitation to book an NHS Health Check appointment, lifestyle questions from the Health Check, and signposting to lifestyle services. Objective To explore the experiences of patients who received an outreach call. Design/Setting/Participants Thematic analysis of semi‐structured interviews with 24 patients (15 female), from seven primary care practices, who had received an outreach call. Results The call increased participants’ understanding of NHS Health Checks and overcame anticipated difficulties with making an appointment. Half reported that they would not have booked if only invited by letter. The cultural identity/language skills of the caller were important in facilitating the interaction for some who might otherwise encounter language or cultural barriers. The inclusion of lifestyle questions and signposting prompted a minority to make lifestyle changes. Conclusions Participants valued easily generalizable aspects of the intervention—a telephone invitation with ability to book during the call—and reported that it prompted acceptance of an NHS Health Check. A caller who shared their main language/cultural background was important for a minority of participants, and improved targeting of this would be beneficial.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Patient experiences of telephone outreach to enhance uptake of NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study

Brangan

Stone

Chappell

et al. 2018

Health Expectations

View full text Add to dashboard Cite

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Reducing health inequalities through general practice

Gkiouleka¹,

Wong

Sowden

et al. 2023

The Lancet Public Health

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Implementation of selective prevention for cardiometabolic diseases; are Dutch general practices adequately prepared?

Stol

Hollander

Nielen

et al. 2018

Scandinavian Journal of Primary Health Care

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ObjectiveCurrent guidelines acknowledge the need for cardiometabolic disease (CMD) prevention and recommend five-yearly screening of a targeted population. In recent years programs for selective CMD-prevention have been developed, but implementation is challenging. The question arises if general practices are adequately prepared. Therefore, the aim of this study is to assess the organizational preparedness of Dutch general practices and the facilitators and barriers for performing CMD-prevention in practices currently implementing selective CMD-prevention.DesignObservational study.SettingDutch primary care.SubjectsGeneral practices.Main outcome measuresOrganizational characteristics.ResultsGeneral practices implementing selective CMD-prevention are more often organized as a group practice (49% vs. 19%, p = .000) and are better organized regarding chronic disease management compared to reference practices. They are motivated for performing CMD-prevention and can be considered as ‘frontrunners’ of Dutch general practices with respect to their practice organization. The most important reported barriers are a limited availability of staff (59%) and inadequate funding (41%).ConclusionsThe organizational infrastructure of Dutch general practices is considered adequate for performing most steps of selective CMD-prevention. Implementation of prevention programs including easily accessible lifestyle interventions needs attention. All stakeholders involved share the responsibility to realize structural funding for programmed CMD-prevention. Aforementioned conditions should be taken into account with respect to future implementation of selective CMD-prevention.Key Points There is need for adequate CMD prevention. Little is known about the organization of selective CMD prevention in general practices. • The organizational infrastructure of Dutch general practices is adequate for performing most steps of selective CMD prevention. • Implementation of selective CMD prevention programs including easily accessible services for lifestyle support should be the focus of attention. • Policy makers, health insurance companies and healthcare professionals share the responsibility to realize structural funding for selective CMD prevention.

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Lessons learned from England’s Health Checks Programme: using qualitative research to identify and share best practice

Cited by 17 publications

References 11 publications

Patient experiences of telephone outreach to enhance uptake of NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study

Patient experiences of telephone outreach to enhance uptake of NHS Health Checks in more deprived communities and minority ethnic groups: A qualitative interview study

Reducing health inequalities through general practice

Implementation of selective prevention for cardiometabolic diseases; are Dutch general practices adequately prepared?

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