# data[].attributes.headline
Not enough time to complete a full AUDIT sensitively so it is avoided completely. Suggestion that NHS HC just includes AUDIT-C and then follow up as needed.

# data[].attributes.subject
Not enough time to complete a full AUDIT sensitively so it is avoided completely. Suggestion that NHS HC just includes AUDIT-C and then follow up as needed.

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Could you role out a targeted PA Clinical Champions programme, along with MECC to support this 

# data[].attributes.subject
Could you role out a targeted PA Clinical Champions programme, along with MECC to support this 

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HCPs may not have the knowledge or confidence to use 'imperfect' tools to have a useful conversation

# data[].attributes.subject
HCPs may not have the knowledge or confidence to use 'imperfect' tools to have a useful conversation

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Still some sense within the NHS that behavioural risk factors are harder/less effective to influence than giving drugs

# data[].attributes.subject
Still some sense within the NHS that behavioural risk factors are harder/less effective to influence than giving drugs

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Providers reporting conversations are harder/more tense/defensive since COVID - a lot of us are drinking more but don't necessarily want to admit i

# data[].attributes.subject
Providers reporting conversations are harder/more tense/defensive since COVID - a lot of us are drinking more but don't necessarily want to admit i

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training need - how familiar are practitioners with alcohol screening tools and explaining risk levels

# data[].attributes.subject
training need - how familiar are practitioners with alcohol screening tools and explaining risk levels

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Belief that as physical activity and alcohol measures are not included in the QRISK score they are "added extras" rather than "must haves"

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Belief that as physical activity and alcohol measures are not included in the QRISK score they are "added extras" rather than "must haves"

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Most HCP's I work with are familiar with the guidelines and the tools. However the physical activity and alcohol questions tend to open up/and or need clarification from the HCP. This would be difficult if there is little time to complete the full HC (we schedule 30 mins)

# data[].attributes.subject
Most HCP's I work with are familiar with the guidelines and the tools. However the physical activity and alcohol questions tend to open up/and or need clarification from the HCP. This would be difficult if there is little time to complete the full HC (we schedule 30 mins)

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Confidence to approach topic of alcohol consumption which can sometimes be seen as personal 

# data[].attributes.subject
Confidence to approach topic of alcohol consumption which can sometimes be seen as personal 

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NHSHC providers/commissioners are trying to address a wider NHS workforce issue - many frontline HCPs are 'prevention competent' i.e. the 'NHSHC community' can't solve this alone 

# data[].attributes.subject
NHSHC providers/commissioners are trying to address a wider NHS workforce issue - many frontline HCPs are 'prevention competent' i.e. the 'NHSHC community' can't solve this alone 

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We ran training on alcohol brief interventions specifically for our NHS HC delivery staff and it didn't make any significant difference to our alcohol recording! (Calderdale)

# data[].attributes.subject
We ran training on alcohol brief interventions specifically for our NHS HC delivery staff and it didn't make any significant difference to our alcohol recording! (Calderdale)

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COM-B: even if have skills and opportunity, don't always see it as their role to address behavioural risk factors if those around them don't advocate this

# data[].attributes.subject
COM-B: even if have skills and opportunity, don't always see it as their role to address behavioural risk factors if those around them don't advocate this

# data[].attributes.headline
HCP's would benefit from training about impacts of lower, but sustained alcohol consumption, particularly when they might also consume alcohol to a similar level - due to their cultural norms. Similarly - with phys act. We find using statistics from 'exercise the miracle cure, useful to open up this conversation

# data[].attributes.subject
HCP's would benefit from training about impacts of lower, but sustained alcohol consumption, particularly when they might also consume alcohol to a similar level - due to their cultural norms. Similarly - with phys act. We find using statistics from 'exercise the miracle cure, useful to open up this conversation

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The impact of COVID on NHS Health Checks

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The impact of COVID on NHS Health Checks

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Where HCs have been disrupted there is a risk that practitioners delivering the programme require refresh training. There is also the impact of turnover of staff. Opportunity with restarting NHS Health Checks fo build back better and ensure GPPAQ and alcohol recording improved.

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The Health Check is more than just a tick box exercise. It works best when there is a MECC/Behaviour change element. This isn't always the case when it's being conducted by PN's for example

# data[].attributes.subject
The Health Check is more than just a tick box exercise. It works best when there is a MECC/Behaviour change element. This isn't always the case when it's being conducted by PN's for example

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In part can be about pathways - no good just saying need to change behaviour if no services/support to help this

# data[].attributes.subject
In part can be about pathways - no good just saying need to change behaviour if no services/support to help this

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reporting - need to close the loop so those providing checks get evidence of impact e.g. how many people access services, changed behaviour following checks..

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reporting - need to close the loop so those providing checks get evidence of impact e.g. how many people access services, changed behaviour following checks..

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There remains a feeling in some quarters that it should be an either/or - as opposed to the two being part of a method to help patients 

# data[].attributes.subject
There remains a feeling in some quarters that it should be an either/or - as opposed to the two being part of a method to help patients 

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Time is all important. You can 'do' a health check in 10 minutes - but it takes much longer to do a 'good' one

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Time is all important. You can 'do' a health check in 10 minutes - but it takes much longer to do a 'good' one

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We've found that there is a cultural barrier in some communities. There is sometimes a reticence to open up about alcohol consumption with a member of their own community.

# data[].attributes.subject
We've found that there is a cultural barrier in some communities. There is sometimes a reticence to open up about alcohol consumption with a member of their own community.

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I recently spent 3 years at Nurse Training. We spent hours during that whole process discussing lifestyle and a similar length of time on behaviour change. It's a crucial skill - particularly for Practice Nurses

# data[].attributes.subject
I recently spent 3 years at Nurse Training. We spent hours during that whole process discussing lifestyle and a similar length of time on behaviour change. It's a crucial skill - particularly for Practice Nurses

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We tend to find that some HCP (particularly  PN's) tend to make an assumption about a patient's willingness to change - and almost discount them before before they've been offered a chance to change

# data[].attributes.subject
We tend to find that some HCP (particularly  PN's) tend to make an assumption about a patient's willingness to change - and almost discount them before before they've been offered a chance to change