The ‘NHS Health Check’. Quick Guide By Alison Springett. Vascular disease: impact. Causes 36% of deaths (170,000 pa in England) Responsible for a fifth of all hospital admissions
The ‘NHS Health Check’
By Alison Springett
-set of core tests which are consistently and systematically delivered across the country
-PCTs decide how best to implement in their areas to broaden coverage and reduce not widen health gaps
-phased from 2009/10 (all PCTs expected to be offering some checks this year)
-full implementation by 2012/13 (ie. 20% of eligible cohort invited annually)
(an excellent document!)
(particularly useful for Healthcare assistants or junior nurses)
(worth ordering hard copies as all are large documents)
This document should be downloaded and used to invite patients in for the Health Check.
This leaflet can be ordered in bulk from the DH and should be sent with the invitation letter. It is also available in many other languages.
Patients should be aware they are having a ‘NHS Health Check’
All patients aged between 40 and 74 years without any of the conditions below need to have a health check every 5 years.
CHD – Stroke – TIA – Diabetes – Hypertension – CKD – PVD - Palliative
You can either:
If not, send a blood request form with the letter and leaflet. Patients should be advised to make an appointment after they have had their bloods done.
Tick fasting plasma glucose on blood form.
Tick fasting plasma glucose and serum creatinine on blood form.
READ code the invitation letter
saved to notes
Ask patient to come back to the surgery for hypertension assessment.
Discuss benefits of statins and lifestyle regardless of CVD risk score
>6.1? Repeat FPG.
If 2nd result >7 add to diabetes register
If 2nd result >6.1 but < 7 = Impaired Glucose Regulation. Intensive lifestyle change will help reduce chances of diabetes developing.
<6? Normal, lifestyle advice only needed.
READ code any intervention and the Health Check appt. itself
( also READ code if DNA’d )