Smoking, nutrition, alcohol, physical activity (SNAP)

Managing access
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The appointments system should facilitate the assessment and management of SNAP risk factors. Additional time may need to be spent with a patient who is having a SNAP assessment. Special individual or group education sessions with other practice staff may need to be arranged. Reminders may also be required for patients to book a follow-up visit. Electronic scheduling systems need to be sufficiently flexible to allow for this.

To streamline appointment scheduling and improve the flow of appointments for the patient, consider a model of nurse-led clinics for activities such as health checks clinics, education sessions and support visits. The patients see the nurse for 30–45 minutes for their screening assessment or health check, history and medication update (including over-the-counter medication documented), type 2 diabetes risk assessment by the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) and identification of CDM risk. The patient then moves to the GP with the collated information (most GPs can see 2–3 other patients while the nurse is doing the check).