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NHS Health Check Programme Digital Exemplar


Public Health England’s Digital Review

Public Health England underwent a Digital Review in August 2017 which made a series of recommendations to enable PHE to use technology and data to improve public health outcomes and deliver better services to our users. The ambitions  from the review are to digitally support the NHS prevention agenda, provide digital products to support local government, collaborate with commercial and other partners to ensure PHE is leading edge of digital innovation for public health and test new ways of working to enable PHE to become a more agile and innovative organisation.




NHS Health Check Digital Exemplar:

The NHS Health Check programme was selected as one of the eight Digital Exemplars. PHE’s national Digital, CVD Prevention and Behavioural Insight Teams are working in partnership to explore how digital technology could be used to support the NHS Health Check programme. We are following an  “agile” approach to project management which follows the Government Digital Services (GDS) service manual.

The phases of a digital service are as follows. The links give more detailed information from the GDS Manual:

This is a new approach to the NHS Health Check programme using digital and service design with the view to improve prevention, early detection and management of non-communicable disease. It is important to note that there is no specific predicted product outcome of this work stream, the solutions will be developed to meet the needs identified during the discovery and alpha stages of the project.


NHS Health Check Digital Exemplar Work Stream: Current Status


Discovery Phase

The Exemplar is currently midway through its second phase of discovery looking at user needs across all stages of the NHS Health Check programme, from invitation through to managing physiological and behavioural risk factors. This builds upon the original discovery work earlier this year where the team focused their research on ways to increase the uptake of the NHS Health Check.

Utilising a new approach which combines Service Design with Behavioural Insights principles, we are seeking to identify the factors affecting access, provision and commissioning of an optimal service by conducting primary research with service users, service providers and local authority stakeholders to understand these groups barriers and motivators in accessing, providing and commissioning an optimal service. We are also looking at what service changes, both digital and non-digital, could support the delivery of the NHS Health Check programme including improving reach and impact.

To do this we are currently interviewing a range of users:



We used the latest NHS Health Checks data to help inform recruitment of commissioners and providers for interviews and reached out through the PHE Centre Leads.

The format of the interviews is combining both service design and behavioural insights principles in a blended approach. The interview of commissioners and providers is now complete and the transcripts from the interviews are being summarised and coded for analysis.

The public have been recruited using an external agency that have categorised them into different groups depending on where they are in their NHS Health Check journey. 30 members of the public have completed a “digital diary” which is a combination of a survey and a “health diary” over a 7 day period where they record, for example, what they ate have eaten each day and how much exercise they undertook. Using key insights from this diary 15 have been selected to interview and the interviews are taking place both remotely and face to face.

Alongside the primary insight research a literature review has been commissioned to inform the interpretation of the findings from Discovery 2.0.  The aim is to produce a review of evidence and behavioural analysis utilising behavioural science models and frameworks to identify key barriers and facilitators of whether people initially take up an NHS Health Check and then continue to engage, to support improvements in the implementation, delivery and impact of the NHS Health Check programme.

The outputs of all of the interviews will be further coded analysed using behaviour change theory and a workshop with key stakeholders is being planned for the end of November to look at potential ideas to be taken into an alpha phase. The results of this analysis will provide important insights into factors that determine people’s engagement with the NHS Health Check programme and will be used by PHE to inform the interpretation of the findings from Discovery 2.0 and support the planning of the Alpha phases of the NHS Health Check digital work stream. It is expected that discovery will be complete towards the end of the year.


You can follow our progress through Discovery Phase via our Postcards.

  

Who to Contact:

To find out further information on the NHS Health Check programme’s Digital Exemplar and its progress you can contact the team on:

Digital logo.jpg

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If there's something you'd like to know and you can't find it on our website please fill in the short form below and we'll get back to you. We aim to respond to questions within 5 working days.

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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999