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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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NHS Health Check Programme: a qualitative study of prison experience.

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Summary
This summary is machine-generated.

NHS Health Checks in prisons have low uptake due to accessibility issues, stigma, and misconceptions. Improving awareness and healthcare access can enhance participation for better cardiovascular health outcomes.

Keywords:
cardiovascularinequalitypreventionprisoners

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Area of Science:

  • Public Health
  • Prison Healthcare
  • Health Services Research

Background:

  • NHS Health Checks were implemented in English prisons in 2009.
  • Uptake of this cardiovascular disease prevention program in prisons has been inconsistent.
  • Understanding barriers and facilitators to uptake is crucial for improving health outcomes in incarcerated populations.

Purpose of the Study:

  • To explore prisoner, staff, and ex-prisoner perspectives on NHS Health Check implementation in prisons.
  • To identify factors influencing uptake of NHS Health Checks within the prison setting.
  • To inform strategies for enhancing the delivery of offender healthcare services.

Main Methods:

  • Semi-structured focus groups were conducted with diverse prison stakeholders.
  • Participants included prisoners (attendees and non-attendees), healthcare staff, custodial staff, and ex-prisoners (n=50).
  • Discussions focused on awareness, experiences, and perceptions of the NHS Health Check Programme.

Main Results:

  • Key barriers to attending health checks included poor healthcare accessibility, stigma, and fear.
  • A significant lack of awareness and prevalent misconceptions about the program were reported.
  • Suggestions for improvement centered on group-based approaches and enhanced healthcare accessibility.

Conclusions:

  • Prisoner and staff perspectives highlight significant challenges in delivering NHS Health Checks within the unique prison environment.
  • Addressing identified barriers is essential for the successful implementation and uptake of health checks.
  • Findings offer insights for optimizing offender healthcare services and cardiovascular disease prevention strategies.