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Despite structured care pathways, non\u2010attendance within UK secondary care remains challenging. This scoping review aimed to synthesise existing evidence on factors influencing non\u2010attendance at secondary care appointments and strategies to improve appointment adherence among people living with Chronic Hepatitis B. Eligibility Criteria: Peer\u2010reviewed sources examining adults with Hepatitis B attendance at UK secondary care services. Grey literature was excluded. Sources of Evidence: Searches were performed in CINAHL Ultimate, Medline, Embase, Scopus and APA PsycINFO. Data were charted using a structured data extraction form and synthesised narratively. Eleven studies met the inclusion criteria. Identified barriers included patient\u2010related factors (e.g., limited health literacy, stigmatisation, competing priorities), system\u2010level challenges (e.g., appointment scheduling and accessibility) and cultural or language barriers. Psychological factors, including fear of diagnosis and treatment side effects, were also reported. Reported strategies included patient education, culturally tailored interventions, reminder systems (e.g., SMS and telephone calls) and integrated care models involving community outreach. Non\u2010attendance among people with chronic Hepatitis B in secondary care is influenced by a complex interplay of personal, social and systemic factors. Interventions that address multiple barriers, particularly those that incorporate culturally sensitive approaches and reminder systems, may improve engagement. Further research is needed to co\u2010design and evaluate interventions with affected communities.<\/jats:p>","DOI":"10.1111\/jvh.70221","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T12:01:06Z","timestamp":1786536066000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Attendance Among People With Hepatitis B in\n                    <scp>UK<\/scp>\n                    Secondary Care: A Scoping Review"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7161-5596","authenticated-orcid":false,"given":"Emma Victoria","family":"Shiel","sequence":"first","affiliation":[{"name":"Mental Health Research Group, Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine, and Health University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5765-2117","authenticated-orcid":false,"given":"Bini","family":"George","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7950-2649","authenticated-orcid":false,"given":"Arpana","family":"Verma","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Faculty of Biology, Medicine, and Health University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7801-7417","authenticated-orcid":false,"given":"Norina","family":"Gasteiger","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine, and Health University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organization \u201cHepatitis B \u201d(2025) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/hepatitis\u2010bwho.int."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01468-4"},{"key":"e_1_2_11_4_1","volume-title":"Global Health Sector Strategy on Viral Hepatitis, 2016\u20132021: Towards Ending Viral Hepatitis","author":"World Health Organization","year":"2016"},{"key":"e_1_2_11_5_1","unstructured":"UK Health Security Agency \u201cHepatitis B in England 2025 \u201d(2025) https:\/\/www.gov.uk\/government\/publications\/hepatitis\u2010b\u2010in\u2010england\/hepatitis\u2010b\u2010in\u2010england\u20102025."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cld.733"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2018.02.002"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4208-9"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajeadv\/uuaf021"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S514283"},{"key":"e_1_2_11_11_1","unstructured":"National Institute for Health and Care Excellence [NICE] \u201cQuality Statement 5: Personalised Care Plan \u201d(2014) https:\/\/www.nice.org.uk\/guidance\/qs65\/chapter\/quality\u2010statement\u20105\u2010personalised\u2010care\u2010plan."},{"key":"e_1_2_11_12_1","article-title":"P52 Factors Determining Outpatient Clinic Attendance in Patients With Chronic Hepatitis B Infection","volume":"73","author":"Sun J.","year":"2024","journal-title":"Gut"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-020-01219-w"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000001999"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-023-07951-z"},{"issue":"4","key":"e_1_2_11_16_1","article-title":"Factors and Reasons Associated With Appointment Non\u2010Attendance in Hospitals: A Narrative Review","volume":"16","author":"Alturbag M.","year":"2024","journal-title":"Cureus"},{"issue":"7","key":"e_1_2_11_17_1","first-page":"18","article-title":"A Nurse\u2010Led Community Hepatitis B Clinic","volume":"110","author":"Bowyer T.","year":"2014","journal-title":"Nursing Times"},{"key":"e_1_2_11_18_1","first-page":"3","volume-title":"The Joanna Briggs Institute Reviewers' Manual 2015","author":"Peters M. 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