Evidence map›Paper›PMID 29146658›Full record

SynthesisBMJ open2017

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

Katie Mills, Emma Harte, Adam Martin, Calum MacLure, Simon J Griffin, Jonathan Mant, Catherine Meads, Catherine L Saunders, Fiona M Walter, Juliet A Usher-Smith

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Delivery and impact of the NHS Health Check in the first 8 years: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Katie MillsThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Emma HarteRAND Europe, Westbrook Centre, Cambridge, UK.
Adam MartinAcademic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Calum MacLureRAND Europe, Westbrook Centre, Cambridge, UK.
Simon J GriffinThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Jonathan MantThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Catherine MeadsFaculty of Health, Social Care and Education, Anglia Ruskin University, Cambridge, UK.
Catherine L SaundersThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Fiona M WalterThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Juliet A Usher-SmithThe Primary Care Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-8501-2531

Funding

Cancer Research UK 21464Medical Research Council MC_UU_12015/4
6 · The paper itself

Abstract

objectiveTo synthesise data concerning the views of commissioners, managers and healthcare professionals towards the National Health Service (NHS) Health Check programme in general and the challenges faced when implementing it in practice.

designA 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, Cumulative Index of Nursing and Allied Health Literature, Global Health, PsycInfo, Web of Science, OpenGrey, the Cochrane Library, NHS Evidence, Google Scholar, Google, ClinicalTrials.gov and the International Standard Randomised Controlled Trial Number registry from 1 January 1996 to 9 November 2016 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.

resultsOf 18 524 citations, 15 articles met the inclusion criteria. There was evidence from both quantitative and qualitative studies that some commissioners and general practice (GP) healthcare professionals were enthusiastic about the programme, whereas 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 information technology 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.

conclusionsThe 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, are important for the future of the programme.

Indexed as

Administrative PersonnelHealth Knowledge, Attitudes, PracticeHealth PersonnelCardiovascular DiseasesCost-Benefit AnalysisHumansQualitative ResearchRandomized Controlled Trials as TopicState Medicinehealthcare professional viewsNHS health checksystematic review

Identifiers

PMID29146658
PMCPMC5695333

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.