CHERIE: Community Health Education, scReenIng and prEvention

问题：我们知道，生活在贫困地区的人很可能在生命早期就生病，并过早死亡。他们更容易患糖尿病和心脏病，并与并发症斗争多年。健康检查帮助人们了解他们患这些疾病的风险，并获得他们需要的支持来降低这种风险。这些健康检查包括测量人的体重、身高、血压、血糖水平、胆固醇水平和肾功能。这些健康检查大多是在GP实践中完成的。对病人登记册进行了搜索，以确定那些有可能出现严重健康状况的高风险者。然后，联系已确定的患者，提示他们预约验血，然后在需要时再预约一次，讨论健康检查的结果。然而，生活在贫困中的人往往很难完成这些健康检查，因为很难预约全科医生，或者因为工作，照顾责任和/或其他情况而参加他们。解决方法：CHERIE诊所（社区健康教育，筛查和预防）可以解决阻止人们获得这些重要健康检查的大多数障碍。有小型便携式机器可以使用少量血液或尿液样本进行这些健康检查，并在几分钟内提供测试结果。这被称为护理点测试。我们建议社区团体，在全科医生手术的正确培训和支持下，使用护理点检测在社区内方便的场所提供这些健康检查。优点：人们可以在没有预约的情况下进入这些诊所，完成健康检查，并根据结果立即获得所需的支持。在社区场所提供这些健康检查将提供额外的时间和灵活性，以帮助那些努力与全科医生预约。通过这种方式，我们可以及早识别出更多有患病风险的人，并为他们提供保持健康所需的支持。这一方法还将使社区组织能够向保健专员寻求资金，并确保其向当地社区提供的服务的可持续性。项目目标：在确定了CHERIE诊所的可行性之后，我们的目标是扩大其范围，并与全科医生、患者、社区组织和专员一起探索如何安全有效地提供这些诊所。我们还将开发资源，帮助社区组织争取资金，医疗保健专员制定合同和委托框架，以支持社区组织。

Problem: We know that people who live in poverty, in deprived neighbourhoods, are likely to become ill early in life, and die prematurely. They are more likely to develop diabetes and heart disease, and struggle with their complications for many years. Health checks help people understand their risk of getting these conditions, and get the support they need to reduce that risk. These health checks include measuring the person's weight, height, blood pressure, blood glucose levels, cholesterol levels and kidney function. Most of these health checks are done in the GP practice. The patients' register is searched to identify those who are potentially at a high risk of developing serious health conditions. Then, the identified patients are contacted to prompt them to book a blood test appointment, followed by another appointment if needed to discuss the results of the health checks. However, people living in deprivation often struggle to get these health checks done, due to the difficulty of booking GP appointments, or attending them because of work, caring responsibilities and/ or other circumstances. Solution: CHERIE clinics (Community Health Education, scReerIning and prevEntion) can address most barriers preventing people from accessing these important health checks. There are small portable machines that can perform these health checks using a small sample of blood or urine, and provide the test results in a few minutes. This is known as point of care testing. We suggest that community groups, with the right training and support from GP surgeries, use point of care testing to offer these health checks in convenient venues within the community. Benefits: People can access these clinics without an appointment, get their health checks done and receive the support they need based on their results immediately. Offering these health checks in community venues will provide extra time and flexibility to help those struggling with GP appointments. This way, we may identify more people who are at risk of getting ill, early, and offer them the support they need to remain healthy. This approach will also enable community organisations to seek funding from healthcare commissioners and ensure the sustainability of their services to local communities. Project aim: Having already established the feasibility of CHERIE clinics, we aim to extend their scope and explore with GPs, patients, community organisations and commissioners how these clinics can be delivered safely and effectively. We will also develop resources to help community organisations bid for funding, and healthcare commissioners develop contractual and commissioning frameworks to support community organisations.