Setting-based approaches

In this section you will find information on each of the settings-based approaches which support the delivery of Keep Well.

The Keep Well programme has primarily focused on GP practices as the route to deliver targeted health checks. However more recently alternative approaches have been tested to engage and deliver health checks to support the delivery of the programme. These alternative settings include:

Anticipatory Care in Community Pharmacies

The pharmacy setting has been identified as an additional setting to carry out health checks to enhance the delivery of the current Keep Well programmes. Pharmacies have been recognised as lending themselves well in carrying out more ‘opportunistic’ interventions that have been successful within the Keep Well model.

This development will test approaches aimed at improving levels of user engagement, health check uptake and access to appropriate services. An evaluation of this programme examining issues such as increased awareness of the extended community pharmacy role, client choice and delivery of health checks was commissioned in parallel to the roll out of this approach. It

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Rural Anticipatory Care Paramedic Programme

Building on the successful delivery of mobile health checks in NHS Western Isles, NHS Health Scotland and the Scottish Ambulance Service have identified the opportunity to test this model further within more remote geographical locations including: NHS Ayrshire and Arran, North West Sutherland and Orkney.

This approach allows the Keep Well Programme to continually test a range of different approaches that increase opportunities for individuals to receive a high quality health check irrespective of how isolated their living circumstances are. The development will integrate services such as those provided by the Keep Well programme into daily working routines.

The Rural Anticipatory Care Paramedic Programme evaluation is now available. The evaluation aimed to test the delivery of Keep Well health checks by trained Scottish Ambulance Service paramedics.

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Community & Voluntary Sector

NHS Health Scotland led a programme of work in 2009 / 2010 to support the development of partnerships between community and voluntary sector organisations and Anticipatory Care programmes in Scotland. The aim of the partnerships was to enhance the outcomes of Anticipatory Care in reaching and enhancing the health of people within the population target group.

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