NHS Health Checks

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The NHS Health Check is designed to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia.

It includes:

  • A blood test
  • The collection of additional risk assessment data to calculate a QRISK2 score, including age, gender, postcode, ethnicity, smoking status, physical activity GPPAQ score, diet, BMI, BP and medical history
  • A manual pulse check for patients aged 65+ to assess for presence of AF
  • The communication of the risk score to patients, including a full explanation of results, tailored to the individual needs of the patient
  • Lifestyle advice and risk factor management and medication as appropriate, including referral to appropriate lifestyle services
  • Administration of the Audit-C screening tool for alcohol consumption
  • Raising awareness of dementia and signposting to memory clinics for patients aged 65+
  • Movement onto disease registers and follow up as required

Islington practices can be commissioned to deliver NHS Health Checks through a Locally Commissioned Service

Following an NHS Health Check at the practice, patients can be referred in to the following services:


Eligibility criteria

Inclusions

  • Aged 40-74 and registered with GP in Islington
  • Without diagnosed CHD, hypertension, stroke, TIA, heart failure, peripheral vascular disease (PVD) or hypercholesterolemia, atrial fibrillation or CKD, as these patients will be already under the care of the primary care team. 
  • Who have not had a NHS Health Check in the previous five years 
  • Have not been prescribed statins in the last 12 months 
  • Have not had an NHS Health Check previously and recorded a QRISK2 score ≥20%

Exclusions

As the NHS Health Check is a public health programme aimed at preventing disease, people with previously diagnosed vascular disease or who meet the criteria set out below are excluded from the programme. These individuals should already be receiving appropriate management and monitoring through existing care pathways.

  • coronary heart disease
  • chronic kidney disease (CKD) which has been classified as stage 3, 4 or 5 within the meaning of the National Institute for Health and Care Excellence (NICE) clinical guideline 182 on Chronic Kidney Disease
  • diabetes
  • hypertension
  • atrial fibrillation
  • transient ischaemic attack
  • hypercholesterolemia
  • heart failure
  • peripheral arterial disease
  • stroke
  • prescribed statins
  • people who have previously had an NHS Health Check, or any other check undertaken through the health service in England, and found to have a 20+ per cent risk of developing cardiovascular disease over the next ten years

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