title: 'It's just a way of approaching things now': staff perspectives of an anticipatory care programme in Edinburgh.
abstract: BACKGROUND
  Keep Well, an anticipatory care programme aimed at reducing health inequalities in Scotland, commenced in 2006. There is currently little evidence exploring how frontline staff respond to the delivery of anticipatory care.
  
  
  OBJECTIVE
  To understand how staff view changes in practice resulting from the implementation of Keep Well.
  
  
  METHODS
  Qualitative interviews were conducted with a purposively selected sample of 12 Keep Well staff. Data were analysed using a thematic analysis approach.
  
  
  RESULTS
  Keep Well was viewed positively, especially in terms of increased knowledge and skills for staff and the benefits of a holistic health check to patients. Staff believed that Keep Well has improved their practice beyond the project. Concerns were raised, relating to potential inconveniences for patients, staff turnover, increased workload and procedures. There was a view that anticipatory care should continue to be delivered to deprived communities, provided that there are adequate resources, such as staff and funding, to do so.
  
  
  CONCLUSIONS
  Keep Well staff believe that the project should continue to be offered as a 40-minute holistic health check targeted at patients in deprived areas.
authors.affiliation: Hannah Carver, Public Health and Health Policy, NHS Lothian, Edinburgh, Scotland, United Kingdom.
authors.forename: Hannah
authors.initials: H
authors.lastname: Carver
authors.forename: Margaret J
authors.initials: MJ
authors.lastname: Douglas
authors.forename: Joy E M
authors.initials: JE
authors.lastname: Tomlinson
authors.forename: Ciara
authors.initials: C
authors.lastname: Byrne
mesh_terms: D001291:Attitude of Health Personnel; D015438:Health Behavior; D006293:Health Promotion; D054624:Health Status Disparities; D006801:Humans; D007407:Interviews as Topic; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration; D036301:Qualitative Research; D012606:Scotland; D012923:Social Class; D013222:State Medicine
keywords: Health behaviour; prevention; socioeconomic status