title: The NHS Health Check programme: implementation in east London 2009-2011.
abstract: OBJECTIVE
  To describe implementation and results from the National Health Service (NHS) Health Check programme.
  
  
  METHODS
  Three-year observational open cohort study: 2009-2011.
  
  
  METHODS
  People of age 40-74 years eligible for an NHS Health Check.
  
  
  METHODS
  139/143 general practices in three east London primary care trusts (PCTs) serving an ethnically diverse and socially disadvantaged population.
  
  
  METHODS
  Implementation was supported with education, IT support and performance reports. Tower Hamlets PCT additionally used managed practice networks and prior-stratification to call people at higher cardiovascular (CVD) risk first.
  
  
  METHODS
  Attendance, proportion of high-risk population on statins and comorbidities identified.
  
  
  RESULTS
  Coverage 2009, 2010, 2011 was 33.9% (31,878/10,805), 60.6% (30,757/18,652) and 73.4% (21,194/28,890), respectively. Older people were more likely to attend than younger people. Attendance was similar across deprivation quintiles and was in accordance with population distributions of black African/Caribbean, South Asian and White ethnic groups. 1 in 10 attendees were at high-CVD risk (20% or more 10-year risk). In the two PCTs stratifying risk, 14.3% and 9.4% of attendees were at high-CVD risk compared to 8.6% in the PCT using an unselected invitation strategy. Statin prescription to people at high-CVD risk was higher in Tower Hamlets 48.9%, than in City and Hackney 23.1% or Newham 20.2%. In the 6 months following an NHS Health Check, 1349 new cases of hypertension, 638 new cases of diabetes and 89 new cases of chronic kidney disease (CKD) were diagnosed. This represents 1 new case of hypertension per 38 Checks, 1 new case of diabetes per 80 Checks and 1 new case of CKD per 568 Checks.
  
  
  CONCLUSIONS
  Implementation of the NHS Health Check programme in these localities demonstrates limited success. Coverage and treatment of those at high-CVD risk could be improved. Targeting invitations to people at high-CVD risk and managed practice networks in Tower Hamlets improved performance.
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: John
authors: J
authors: Robson
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: Isabel
authors: I
authors: Dostal
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: Vichithranie
authors: V
authors: Madurasinghe
authors: Centre for Population Health Sciences, the University of Edinburgh, Edinburgh, UK.
authors: Aziz
authors: A
authors: Sheikh
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: Sally
authors: S
authors: Hull
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: Kambiz
authors: K
authors: Boomla
authors: London Borough of Newham, Newham Dockside, London, UK.
authors: Helen
authors: H
authors: Page
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: Chris
authors: C
authors: Griffiths
authors: Centre for Primary Care and Public Health, Queen Mary University of London, London, UK.
authors: Sandra
authors: S
authors: Eldridge
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control*; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000208:ethnology; D005260:Female; D006297:Health Services Accessibility; D054625:Healthcare Disparities / Q000208:ethnology / Q000706:statistics & numerical data*; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use; D006973:Hypertension / Q000175:diagnosis / Q000208:ethnology / Q000628:therapy; D008131:London / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011314:Preventive Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D015397:Program Evaluation; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000175:diagnosis / Q000208:ethnology; D012189:Retrospective Studies; D018570:Risk Assessment; D013222:State Medicine / Q000458:organization & administration / Q000706:statistics & numerical data*
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors
keywords: PREVENTIVE MEDICINE; PRIMARY CARE; PUBLIC HEALTH