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

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journal contribution
posted on 01.09.2015, 13:23 by P. Carter, D. H. Bodicoat, N. B. Ashra, D. Riley, N. Joshi, A. Farooqi, I. Browne, M. J. Davies, K. Khunti
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 is also reported. Results Over 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. Conclusion 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.

Funding

This work was supported by the Leicester City Council, with additional support from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care—East Midlands (NIHR CLAHRC— EM), the Leicester Clinical Trials Unit and the NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit which is a partnership between University Hospitals of Leicester NHS Trust, Loughborough University and the University of Leicester.

History

Citation

Journal of Public Health, 2015

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine

Version

AM (Accepted Manuscript)

Published in

Journal of Public Health

Publisher

Oxford University Press for Royal Colleges of Physicians of the United Kingdom, Faculty of Public Health

issn

1741-3842

eissn

1741-3850

Acceptance date

07/08/2015

Copyright date

2015

Available date

27/08/2016

Publisher version

http://jpubhealth.oxfordjournals.org/content/early/2015/08/26/pubmed.fdv115

Language

en