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Views of commissioners, managers and healthcare professionals on the NHS Health Check programme: a systematic review.

  • Mills, Katie
  • Harte, Emma
  • Martin, Adam
  • MacLure, Calum
  • Griffin, Simon
  • Mant, Jonathan
  • Meads, Catherine
  • Saunders, Catherine
  • Walter, Fiona
  • Usher-Smith, Juliet
Publication Date
Nov 15, 2017
Apollo - University of Cambridge Repository
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Objective: To synthesize data concerning the views of commissioners, managers and health-care professionals towards the NHS Health Check programme in general and the challenges faced when implementing it in practice. Design: A systematic review of surveys and interview studies with a descriptive analysis of quantitative data and thematic synthesis of qualitative data. Data sources: An electronic literature search of Medline, Embase, Health Management Information Consortium (HMIC), Cumulative Index of Nursing and Allied Health Literature (CINAHL), Global Health, PsycInfo, Web of Science, OpenGrey, the Cochrane Library, NHS Evidence, Google Scholar, Google, Clinical and the ISRCTN registry to 09/11/16 with no language restriction and manual screening of reference lists of all included papers. Inclusion criteria: Primary research reporting views of commissioners, managers or healthcare professionals on the NHS Health Check programme and its implementation in practice. Results: Of 18,524 citations, 15 articles met the inclusion criteria. There was evidence from both quantitative and qualitative studies that some commissioners and general practice healthcare professionals were enthusiastic about the programme while others raised concerns around inequality of uptake, the evidence-base and cost-effectiveness. In contrast, those working in pharmacies were all positive about programme benefits, citing opportunities for their business and staff. The main challenges to implementation were: difficulties with IT and computer software; resistance to the programme from some GPs; the impact on workload and staffing; funding; and training needs. Inadequate privacy was also a challenge in pharmacy and community settings, along with difficulty recruiting people eligible for Health Checks, and poor public access to some venues. Conclusions: The success of the NHS Health Check Programme relies on engagement by those responsible for its commissioning, management and delivery. Recognising and addressing the challenges identified in this review, in particular the concerns of GPs, is important for the future of the programme.

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