Author: Le Boutillier, Clair

Implementing BOPPP treatment in routine primary care practice

Characteristics of the Individual: The overarching context of practice

Primary care is well-placed for oversight

Existing relationships with patients

Preventative medicine is core work

Established pathways for medication reviews

Treatment will have an evidence base

Fits with holistic and patient-centred practice

Existing practice-based approach

Outer setting: pathway to implementation

A shared approach led by secondary care

Empower the patient to take responsibility

Joined up thinking and working together

Ongoing open communication between secondary and primary care

Time and resources to engage patients

Patient education

A clear management plan from secondary care

Shared decision making

Integrate into primary care systems

Characteristics of the intervention

Readiness for implementation

Develop practice guidance

The need to go above and beyond

Report the evidence

Develop implementation guidelines

Optional training

Adding to the workload

Finding a way to prioritise it

Taking it on in covid times

It is not a common problem so how relevant is it to me

Consider the need for financial reimbursement