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skip to content skip to navigation aa aa aa search nhs health check e-bulletin - july 2018 contents subscribe to receive regular updates print page print issue nhs health check e-bulletin - july 2018 nhs health check e-bulletin foreword by professor steve powis, nhs england medical director the nhs health check programme is the largest of its kind in the world. almost 7 million people in england have had the nhs health check in the last 5 years, this is a phenomenal achievement by both local government and service providers. as a result, each of these individuals has had the opportunity of a one to one conversation with a health professional focusing on their future health. they have been helped to identify key behavioural risks such as being overweight, physical inactivity, excess alcohol intake and smoking and have been helped to reduce those risks with brief interventions and referral for more intensive support. they have also undergone tests to identify previously undiagnosed high risk conditions such as raised blood pressure, raised cholesterol, chronic kidney disease and diabetes so that they can then be offered evidence based clinical treatments to prevent heart attacks, strokes and other life changing cardiovascular events. and now, the check includes a dementia component with people being offered advice on how to reduce their risk of dementia - "what's good for the heart is good for the brain". the nhs health check is a core element of the nhs getting serious about prevention. and we need to! the 2017 commonwealth fund report showed that the nhs performs well in comparison with other developed countries in equity, access, care processes and efficiency. but we are second to last in terms of health outcomes. much of this reflects mortality amenable to health care, and more than half of this is due to cardiovascular disease. the message is clear: we could be doing much better in both the treatment and prevention of heart attacks, strokes and other vascular conditions. most nhs health checks are provided in general practice although significant numbers are offered in pharmacy and other community settings in order to maximise access. emerging evidence shows that the programme is successfully identifying risk factors and offering behaviour change and clinical interventions. encouragingly, there is no evidence that the programme is exacerbating health inequalities - indeed uptake is highest in lower socio-economic groups. there is however significant room for improvement, both in uptake (currently 49% but with substantial geographical variation) and in consistency of follow up treatment (statins and antihypertensives) in primary care and intensive lifestyle behaviour change interventions in the community. this month sees the first nhs health check national data extraction using nhs digital's general practice extraction service (gpes). this exciting development will use anonymised data from across the country to show in detail how the programme is being delivered, what impact it is having on patient outcomes, and how it can be improved. operational update, by professor jamie waterall, national lead for cardiovascular disease prevention & associate deputy chief nurse, last month we published the latest official statistics for the nhs health check, which marked the end of the first 5 years of the programme, since commissioning responsibility moved to local government. with over 14 million people having been offered a check but more importantly, almost 7 million people having received a check, we can be certain that this is one of the largest non-communicable disease prevention programmes in the world, systematically targeting the principal behavioural and physiological risk factors driving premature death, ill health and health inequities in england. on behalf of phe, i would like to thank our amazing nhs health check community for making this happen. because of your leadership, we know that more people are being identified earlier with significant behavioural and physiological risk factors, but more importantly, more people are accessing evidenced based risk reduction interventions to reduce or manage their risk. the end of the first full five year cycle now provides us with an important benchmark, which we should be aiming to improve upon. given the significant variation observed across england, with several local authorities such as bolton, ealing, hammersmith and fulham, walsall and westminster all achieving above 80% of their eligible population receiving a check, we know that many areas could improve their coverage during the next 5 years. phe is committed to supporting this improvement, which is signalled by our chief executive, duncan selbie establishing a task and finish group to explore what additional support can be provided by phe and our stakeholders to support local implementation of the nhs health check. this will include a new digital exemplar programme, exploring how digital assets could be used to improve delivery of the nhs health check. i am thrilled to advise you that we are working on a new heart age test campaign, which will be launched on tuesday the 4th september. having already been completed over 1.8 million times, we know that members of the public value the opportunity to access this important information on their future risk of heart disease and stroke. there will be a variety of creative resources for partners to use including posters, wallet sized cards and leaflets. printed resources will be available in digital format for internal printing but can also be printed and delivered to partners upon request via the campaign resource centre . there will also be campaign toolkits which include statistics, copy and digital assets to target high risk audiences. for any questions please contact [email protected] and to receive updates please sign up to the campaign resource centre newsletter. finally, i wanted to draw your attention to a new nice impact cardiovascular disease prevention resource published last month. i was delighted to have written the commentary for this document, which challenges us to consider if we are systematically implementing nice guidelines on a number of cardiovascular disease areas such as diagnosing and managing high risk conditions such as atrial fibrillation, hypertension and dyslipidaemia. we asked some of our top performing local authorities to share their top 3 tips for achieving a high uptake of the nhs health check. i’m delighted to share insights from susan in lincolnshire and steve in leicester. susan cecconi, senior programme officer lincolnshire county council – nhs health checks and primary care email: [email protected] nhs health check software that searches the eligible population by risk. practices can see who their target population is, who's had an initial invitation and who needs to be followed up. training staff to use the software and sharing best practice from high performing practices. patient alerts on the gp systems. gps, nurses, health care assistants and reception staff can book eligible patients in for their assessment when they visit the practice for another appointment (the uptake to this method of invitation was 78% 2017/18). monitoring practice performance throughout the year and offering additional support to low performers, assistance with training new members of staff and a target related bonus payment at year end. steve petrie, public health manager leicester city council – email: [email protected] engagement with provider: key to leicester city’s success has always been that the gps in the city were engaged right from an early stage and understood the value of the programme. involve them in key decisions about the programme, take on board feedback, and ensure that they feel invested in the programme. focus on checks: whilst it’s of course important to maintain invites, the focus here in leicester city has always been around upt

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for .uk domain names. This information and the .uk WHOIS are:
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