NHS Health Check workforce development - group 2 by https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37 en-us 2021-09-07 08:17:59 UTC 2021-09-20 16:31:36 UTC hello@padlet.com Social influences hannahsullivan5 https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721294976 2021-09-07 08:19:27 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721294976 Beliefs about consequences hannahsullivan5 https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721295614 2021-09-07 08:19:48 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721295614 Optimism of behaviour change hannahsullivan5 https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721296318 2021-09-07 08:20:10 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721296318 the way Health Check is a tick box exercise https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721741833 link to all of them - training on behavioural science ]]> 2021-09-07 12:51:53 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721741833 Unconscious Biases projected by society or even by senior practice staff within the culture of the practice https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721744265 2021-09-07 12:52:35 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721744265 Uncomfortable talking to people about difficult subjects and reaction from the person. Time allocated often not very long for a full conversation, not time to explore. https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721744839 2021-09-07 12:52:46 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721744839 People have come for a check voluntarily so are often looking for something. https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721746585 2021-09-07 12:53:28 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721746585 Uncertainty on how to relay behaviour change to the patient lewissmithconnell https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721747510 Concerns around being paternalistic or judgemental. Moving beyond factual medical information on health to lifestyle changes which are much more grey. ]]> 2021-09-07 12:53:48 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721747510 Confidence about talking about a sensitive subject such as weight or activity levels when conscious of their own weight etc https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721748101 2021-09-07 12:54:02 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721748101 Practical experience of the services that they are referring onto, do they work locally, what people should expect, would 'I' personally recommend it to a friend! https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721753003 2021-09-07 12:55:43 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721753003 Lack of clarity on what is expected lewissmithconnell https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721754651 Both on part of the patient and the staff member who often isn't clear on how hard to push or how much time to allocate to the test vs advice and guidance ]]> 2021-09-07 12:56:20 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721754651 Prescriptive environment https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721755453 2021-09-07 12:56:38 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721755453 Smoking advice can be quite straight forward 'clinically', whereas other areas such as alcohol use or carrying excess weight is more 'socially' acceptable or even 'encouraged'. Clinical v Social tension. https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721762924 2021-09-07 12:59:34 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721762924 Not much of a feedback loop lewissmithconnell https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721766606 Clinician often doesn't get information on attendance or outcome of behaviour change unless the patient comes back and tells them. Notes aren't on clinical systems, may be an outcome letter but not as obvious on the system or entered. 

]]> 2021-09-07 13:00:56 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721766606 Feels like taboo https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721767715 2021-09-07 13:01:18 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721767715 Not understanding or knowing detail of the onward pathway https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721768246 2021-09-07 13:01:32 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721768246 no services to refer to https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721768601 2021-09-07 13:01:40 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721768601 Bad experience of dealing with a provider for example alcohol services https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721771863 2021-09-07 13:02:56 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721771863 The focus on the optimism of behaviour change could be too much with the practicioner... is there enough focus, capacity in an appointment to delve deeper into the optimism of the patient https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721773510 2021-09-07 13:03:35 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721773510 Knowing lead times are long into wrap around services https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721775257 2021-09-07 13:04:18 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721775257 Preconceptions lewissmithconnell https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721782806 Some populations may be perceived to be less likely to engage and / or less likely to have better outcomes, and this may mean that clinicians offer less or different options based on preconceptions ]]> 2021-09-07 13:07:05 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721782806 Lack of congruence with clinical role lewissmithconnell https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721811110 If the health check feels like a one off quick intervention it may not be motivating for clinicians. Thinking about the health check like this as a must do 10 min intervention can seem tokenistic. However if the health check is felt to be part of a coherent care process it will potentially feel more valuable and an important start point to life saving and quality of life improving work. ]]> 2021-09-07 13:16:54 UTC https://padlet.com/hannahsullivan5/ldfc7fkqyq6irg37/wish/1721811110