Physical activity and alcohol measurements in NHS Health Checks - breakout group 2 by https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps Which of these are the biggest barriers? What are the root causes of the barriers preventing healthcare professionals (HCPs) from fully completing the alcohol and physical activity elements of an NHS Health Check? Do you have any suggested solutions which will help make improvements to these elements of the NHS Health Check? en-us 2021-11-09 09:32:08 UTC 2021-11-11 11:45:30 UTC hello@padlet.com lack of confidence raising the topic or inadequate training https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883930017 2021-11-11 11:29:05 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883930017 Lack of importance https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883930329 Niche to the nhshc, not used more widely/linked in with other services so knowledge is lacking. 
Not much additional support following initial training.
Lack of support from more senior clinicians- from experience in GP delivery, not the case across all, but no uniform approach.
Lack of formal training- cascade training from other staff with lack of understanding]]> 2021-11-11 11:29:17 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883930329 https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883931649 Training for NHS delivery differs across the region. 
Audit C and GPAQ/moving professionals training would be beneficial across Primary Care
Feedback on Audit C by alcohol commissioners was that is was a great tool to use but that often patients lie.]]> 2021-11-11 11:30:07 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883931649 Don't ask the question if I'm unsure of how to deal with the answer scenario. Staff may not want to broach a subject they feel they are not confident/equipped to answer fully https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883932722 2021-11-11 11:30:44 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883932722 Not just a training or knowledge gap. Time can be an issue also https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883934458 2021-11-11 11:31:45 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883934458 Motivational Interviewing https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883936122 As well as using the tools staff delivering the health check would really benefit from motivational interview techniques, and strength based training to support healthy conversations around PA and alcohol

May be an opportunity to share some conversations starters, key facts and support resources and services all in one place to support practitioners]]> 2021-11-11 11:32:44 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883936122 patients may not be honest or underestimate the amount of alcohol they are consuming so HP doesn't delve any deeper. https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883937157 2021-11-11 11:33:23 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883937157 On-going training https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883937467 lack of follow up support, following initial health check training

lack of training in clinical roles to initiate conversation skills, too much focus on clinical skills]]> 2021-11-11 11:33:35 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883937467 making the case https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883939663 Yes still think we need to make the case in primary care that behavioural risk factors can make a difference.

reinforcing the commitment in the long-term plan around addressing behavioural risk factors in primary and secondary prevention.]]> 2021-11-11 11:35:05 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883939663 Lack of time https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883941309 Lack of time from commissioners and practitioners is always identified as a barrier for discussing behavioural risk factors]]> 2021-11-11 11:36:13 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883941309 Clinicians initial training https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883943339 changing opinions/culture is difficult, needs to be embedded from their initial clinical training. Hollistic approach to interventions]]> 2021-11-11 11:37:33 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883943339 https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883945226 The view that harm done by alcohol consumption is somehow self inflicted. E.g. Not treated the same as smoking, overeating. ]]> 2021-11-11 11:38:52 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883945226 Improving the templates used for delivery may be able to support ease of tool using and conversations following this. Embedding links to local lifestyle/commissioned services can help https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883948640 2021-11-11 11:41:01 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883948640 Belief that the patient will lie https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883948967 Criticism from some commissioners was that patients lie with audit C to health professionals so are now sharing drinking apps instead

Similar belief around physical activity and lack of understanding around the evidence around increasing PA]]> 2021-11-11 11:41:13 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883948967 Importance https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883950624 raising the topic regardless of other health issues- it's still important but not considered so

Predudice, worry about offending if raising certain]]> 2021-11-11 11:42:20 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883950624 Outcomes https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883953559 we dont report on outcomes...what happens next, the impact with healthy behaviours
Health professionals may report on onward referral not commitment to make a small agreed change or an action plan. 
Is there an opportunity to link with social prescribing lifestyle services to report outcomes]]> 2021-11-11 11:44:12 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883953559 Time https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883955677 negative attitudes but caused by other influences i.e. time given to complete a check- do staff feel like they are able to offer effective intervention

Knowledge of local services and where to signpost.

No follow up for the practitioner so no knowledge of if it has been a successful intervention]]> 2021-11-11 11:45:30 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883955677 Beliefs https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883955684 Agree we are still making the case for prevention and NHSHC in some localities and practices]]> 2021-11-11 11:45:30 UTC https://padlet.com/hannahsullivan6/cm72qkfxqqhu4pps/wish/1883955684