Case detection of disease by NHS Health Checks in Warwickshire, England and comparison with predicted performance

Hooper, James; Chohan, Paramdip; Caley, M. Julian

doi:10.1016/j.puhe.2014.01.013

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…This study indicates that higher levels of coverage are achievable in the NHS Health Checks programme than is currently the case in England. 47 Treatment with statins in patients at high CVD risk was <30% in two of the three CCGs, and could be improved. Statins are highly effective, safe, and well tolerated.…”

Section: Strengths and Weaknessesmentioning

confidence: 99%

NHS Health Check comorbidity and management: an observational matched study in primary care

et al. 2016

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BackgroundThe NHS Health Check programme completed its first 5 years in 2014, identifying those at highest risk of cardiovascular disease and new comorbidities, and offering behavioural change support and treatment.AimTo describe the coverage and impact of this programme on cardiovascular risk management and identification of new comorbidities.Design and settingObservational 5-year study from April 2009 to March 2014, in 139 of 143 general practices in three clinical commissioning groups (CCGs) in east London.MethodA matched analysis compared comorbidity in NHS Health Check attendees and non-attendees.ResultsA total of 252 259 adults aged 40–74 years were eligible for an NHS Health Check and, of these, 85 122 attended in 5 years. Attendance increased from 7.3% (10 900/149 867) in 2009 to 17.0% (18 459/108 525) in 2013 to 2014, representing increasing coverage from 36.4% to 85.0%. Attendance was higher in the more deprived quintiles and among South Asians. Statins were prescribed to 11.5% of attendees and 8.2% of non-attendees. In a matched analysis, newly-diagnosed comorbidity was more likely in attendees than non-attendees, with odds ratios for new diabetes 1.30 (95% confidence interval [CI] = 1.21 to 1.39), hypertension 1.50 (95% CI = 1.43 to 1.57), and chronic kidney disease 1.83 (95% CI = 1.52 to 2.21).ConclusionThe NHS Health Check programme provision in these CCGs was equitable, with recent coverage of 85%. Statins were 40% more likely to be prescribed to attendees than non-attendees, providing estimated absolute benefits of public health importance. More new cases of diabetes, hypertension, and chronic kidney disease were identified among attendees than a matched group of non-attendees.

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Section: Strengths and Weaknessesmentioning

confidence: 99%

NHS Health Check comorbidity and management: an observational matched study in primary care

et al. 2016

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“…The PHE website included data on national-level uptake (2013-2014 to Q2, 2016-2017), as well as variation in uptake over time (per quarter) and by area (at the county level). Eleven studies reported uptake and socioeconomic factors associated with uptake in general practices (n = 9) 14,26,27,29,30,[32][33][34][35] and community-based settings (n = 2). 12,16 The study samples were different from those used in the coverage studies and generally smaller, ranging from two 32 to 40 33 general practices, incorporating between 1380 34 and 50 485 29 patients.…”

Section: Uptake (N = 12)mentioning

confidence: 99%

Delivery and impact of the NHS Health Check in the first 8 years: a systematic review

et al. 2018

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“…10 Completeness of data for HbA1c, waist circumference, alcohol intake and reported physical activity varied across localities, which we acknowledge as a limitation of the evaluation; however, this is a limitation shared by most studies which use data primarily collected for other purposes". We report prevalence of people identified with type 2 diabetes, at high risk of type 2 diabetes, hypertension, at risk of cardiovascular disease and chronic kidney disease.…”

Section: Limitations Of This Studymentioning

confidence: 99%

“…9 In addition a recent short report showed the NHS health Checks to be effective in detection of previously undiagnosed disease. 10 Nevertheless, there is a need to evaluate the NHS Health…”

Section: Introductionmentioning

confidence: 99%

A retrospective evaluation of the NHS Health Check Programme in a multi-ethnic population

et al. 2015

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199Word Count: 3,120 2 Abstract BackgroundThe NHS Health Check Programme was introduced in 2009 to improve primary prevention of coronary heart disease, stroke, diabetes and chronic kidney disease; however, there has been debate regarding the impact. We present a retrospective evaluation of Leicester City Clinical Commissioning Group. MethodsData are reported on diagnosis of type 2 diabetes, hypertension, chronic kidney disease, high risk of type 2 diabetes and high risk of cardiovascular disease. Data on management following the Health Check is also reported. ResultsOver a five year period 53, 799 health checks were performed, 16, 388 (30%) people were diagnosed with at least one condition when diagnosis of being at high risk of cardiovascular disease was defined as ≥20% . This figure increased to 43% when diagnosis of high cardiovascular risk ≥10% was included. Of the 3,063 (5.7%) individuals diagnosed with type 2 diabetes 54 % were prescribed metformin and 26% were referred for structured education. Of the 5,797 (10.8%) individuals diagnosed at high risk of cardiovascular disease (≥20%) 64% were prescribed statins. ConclusionA high proportion of new cases of people at risk of cardiovascular disease were identified by the NHS Health Check Programme. Data suggest that this has translated into appropriate preventative measures.

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Case detection of disease by NHS Health Checks in Warwickshire, England and comparison with predicted performance

Cited by 9 publications

References 7 publications

NHS Health Check comorbidity and management: an observational matched study in primary care

NHS Health Check comorbidity and management: an observational matched study in primary care

Delivery and impact of the NHS Health Check in the first 8 years: a systematic review

A retrospective evaluation of the NHS Health Check Programme in a multi-ethnic population

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