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. 2016 Sep;38(3):534-542.
doi: 10.1093/pubmed/fdv115. Epub 2015 Aug 27.

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

P Carter  1 , D H Bodicoat  1 , M J Davies  1 , N B Ashra  1 , D Riley  2 , N Joshi  2 , A Farooqi  2 , I Browne  3 , K Khunti  1
Affiliations

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

P Carter et al. J Public Health (Oxf). 2016 Sep.

Abstract

Background: The 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.

Methods: Data 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 are also reported.

Results: Over a 5-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 3063 (5.7%) individuals diagnosed with type 2 diabetes, 54% were prescribed metformin and 26% were referred for structured education. Of the 5797 (10.8%) individuals diagnosed at high risk of cardiovascular disease (≥20%), 64% were prescribed statins.

Conclusions: A 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.

Keywords: NHS Health Check Programme; cardiovascular disease; cardiovascular risk.

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Figures

Fig. 1
Fig. 1
Percentage of individuals diagnosed with multiple conditions of interest as identified in the NHS Health Check Programme. Figures represent the percentage of individuals with both the row condition and the column condition. The size of the circle represents the percentage diagnosed with both conditions. CKD, chronic kidney disease; CVD, cardiovascular disease; T2DM, type 2 diabetes mellitus. The top figure represents data when being at high risk of CVD defined as ≥20%, the lower figure represents data when being at risk of CVD defined as ≥10%.
See this image and copyright information in PMC

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