Anticipatory Care programmes
This section provides information on Anticipatory Care in practice in Scotland including the Keep Well and Well North programmes.
On this page you will find information on two Anticpatory Care programmes:
These two programmes have expanded to target specific populations and deliver in alternative settings. Further information is available on this page on:
Keep Well
Keep Well was developed as part of plans to tackle health inequalities in Scotland in 2006. The Keep Well model aims to increase the rate of health improvement in 40-64 year olds in areas of greatest need. It focuses on cardiovascular disease and the main associated risk factors, in particular blood pressure, cholesterol, smoking and diabetes. Treatments and referral to community and other NHS and voluntary services are offered, with regular monitoring and proactive follow-up. In May 2010, the Scottish Government announced its intention to mainstream the Keep Well programme of targeted health checks from April 2011
Find out more about Scotland's Keep Well programme including background information, what the Keep Well health check contains and future plans for the programme.
Well North
Well North is an anticipatory care test site designed to improve the health of people experiencing health inequalities in remote and rural areas in the North of Scotland. A particular focus will be on early intervention with 40-64 year olds at higher risk of coronary heart disease and diabetes.
Find out more about Scotland's Well North programme including the aims of the programme and participating health boards.
Settings-based approaches
Keep Well and Well North have primarily focused on GP practices as the route to deliver targeted health checks. However, more recent alternative approaches have been tested to engage and deliver health checks to support the delivery of Keep Well and Well North. These alternative settings include:
- The testing of approaches in community pharmacies
- The Scottish Ambulance Service through a mobile paramedic model in remote and rural areas.
Find out more about settings-based approaches which currently support the delivery of Keep Well and Well North.
Population-based approaches
In addition to targeting using Scottish Index of Multiple Deprivation (SIMD) data (targeting the 15% most deprived areas) it has been necessary to target specific high risk populations irrespective of location. This has led to the development of a targeted population approach. Across local NHS boards, services have been designed around the needs of individuals including: those with long term conditions, mental health issues, learning disabilities, populations of specific ethnicity, travelling and homeless populations and those in prison.
Find out more about the population-based approaches currently used within the Keep Well and Well North programmes.
Reviewed 24 October 2011