Diabesity prevention programme in primary care

2018 ◽  
Vol 28 (2) ◽  
pp. 20-26
Author(s):  
Lisa Marie Jackson
Keyword(s):  
Primary Care ◽  
Prevention Programme

A primary care based fall prevention programme

1999 ◽  
Vol 15 (2) ◽  
pp. 121-133 ◽  
Author(s):  
Alison Allen ◽  
Janet M. Simpson
Keyword(s):  
Primary Care ◽  
Fall Prevention ◽  
Prevention Programme ◽  
Fall Prevention Programme

scholarly journals The effects of structure, process and outcome incentives on primary care referrals to a national prevention programme

2021 ◽  
Author(s):  
Emma McManus ◽  
Jack Elliott ◽  
Rachel Meacock ◽  
Paul Wilson ◽  
Judith Gellatly ◽  
...  
Keyword(s):  
Primary Care ◽  
Prevention Programme ◽  
Process And Outcome ◽  
National Prevention

Heartwatch: a secondary prevention programme in primary care in Ireland

2008 ◽  
Vol 15 (6) ◽  
pp. 651-656 ◽  
Author(s):  
Kathleen Bennett ◽  
Siobhan Jennings ◽  
Claire Collins ◽  
Michael Boland ◽  
John Leahy ◽  
...  
Keyword(s):  
Primary Care ◽  
Secondary Prevention ◽  
Prevention Programme ◽  
Secondary Prevention Programme

scholarly journals Implementing a national diabetes prevention programme in England: lessons learned

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jonathan Stokes ◽  
Judith Gellatly ◽  
Peter Bower ◽  
Rachel Meacock ◽  
Sarah Cotterill ◽  
...  
Keyword(s):  
Primary Care ◽  
Financial Incentives ◽  
Diabetes Prevention ◽  
Large Scale ◽  
Clinical Pathways ◽  
Learning By Doing ◽  
Lessons Learned ◽  
Prevention Programme ◽  
Prevention Programmes ◽  
Incentive Payments

Abstract Background Type 2 diabetes mellitus is preventable through lifestyle intervention. Diabetes prevention programmes (DPPs) aim to deliver prevention-based behaviour change interventions to reduce incidence. Such programmes vary from usual primary care in terms of where, how, and by whom they are delivered. Implementation is therefore likely to face new commissioning, incentive and delivery challenges. We report on the implementation of a national DPP in NHS England, and identify lessons learned in addressing the implementation challenges. Methods In 2017/18, we conducted 20 semi-structured telephone interviews covering 16 sampled case sites with the designated lead(s) responsible for local implementation of the programme. Interviews explored the process of implementation, including organisation of the programme, expectations and attitudes to the programme, funding, target populations and referral and clinical pathways. We drew on constant comparative methods to analyse the data and generate over-arching themes. We complemented our qualitative data with a survey focused on variation in the financial incentives used across sites to ensure usual primary care services recruited patients to new providers. Results We identified five over-arching areas of learning for implementing this large-scale programme: 1) managing new providers; 2) promoting awareness of services; 3) recruiting patients; 4) incentive payments; and 5) mechanisms for sharing learning. In general, tensions appeared to be caused by a lack of clear roles/responsibilities between hierarchical actors, and lack of communication. Both local sites and the national NHS coordination team gained experience through learning by doing. Initial tensions with roles and expectations have been worked out during implementation. Conclusions Implementing a national disease prevention programme is a major task, and one that will be increasingly faced by health systems globally as they aim to adjust to demand pressures. We provide practical learning opportunities for the wider uptake and sustainability of prevention programmes. Future implementers might wish to define clear responsibilities for each actor prior to implementation, ensure early engagement with new providers, offer mechanisms/forums for sharing learning, generate evidence and provide advice on incentive payments, and prioritise public and professional awareness of the programme.

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