NHS Health Check

An opportunity to engage 15 million people to live well for longer

Jamie Waterall NHS Health Check National Lead

Public Health England

Twitter: @JamieWaterall

Public Health England is the expert national public health agency which fulfils the Secretary of State for Health’s statutory duty to protect health and address inequalities, and executes his power to promote the health and wellbeing of the nation.

First a question to consider:What percentage of risk factors associated with

someone having their first heart attack are modifiable?

90% Men

94% Women

Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study

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Burden of disease attributable to 20 leading risk factors for both sexes in 2010, expressed as a percentage of UK disability-adjusted life-years

*

]

Policy background: Policy proposal published 1st April 2008

170,000 (36%) deaths caused by vascular disease in England

Responsible for 20% of hospital admissions

Largest single cause of long term illness

Prevalence falls disproportionately in people living in deprived circumstances and certain ethnic groups

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Economic modelling Prevent

1,600 MI & strokes annually

650 CVD related deaths

4,000 new case diabetics

20,000 DM + CKD diagnosed early in the disease pathway

Using NICE QALY model <£3,000 “very cost effective”

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Public Health RegulationsFive mandated areas:

Weighing and measuring of children

NHS Health Check assessment

Sexual health services

Public health advice service

Protecting the health of the local population

Ring fenced Public Health budget

8

New programme aim and objectives

The NHS Health Check programme offers a fantastic opportunity to help people to live longer, healthier lives. It aims to improve health and wellbeing of adults aged 40-74 years through the promotion of earlier awareness, assessment, and management of the major risks factors and conditions driving premature death, disability and health inequalities in England.

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The programme will achieve this by:

promoting and improving the early identification and management of the individual behavioural and physiological risk factors for vascular disease and the other conditions associated with these risk factors

supporting individuals to effectively manage and reduce behavioural risks and associated conditions through information, behavioural and evidence based clinical interventions

helping to reduce inequalities in the distribution and burden of behavioural risks, related conditions and multiple morbidities

promoting and supporting appropriate operational research and evaluation to optimise programme delivery and impact, nationally and locally

Twitter: @JamieWaterall

Twitter: @JamieWaterall

Twitter: @JamieWaterall

NHS Health CheckAreas of focus:

‘NHS Health Check implementation review and action plan 2013’ set out PHE’s commitment to local implementation and drive for improved quality, consistency, governance and outcomes. Ten commitments underpin work in 2014-15, including:

Leadership: introduce new governance structure including expert scientific and clinical advisory panel, information governance and data sub-group

Improve uptake: support behavioural insight research and develop national marketing and branding toolkit to support local delivery (new website presence)

Information governance: overcome barriers to data sharing – publish a national guidance and IG toolkit

Support delivery: establish national and local learning networks

Consistency: develop national quality improvement framework

Provider competency: establish national competency framework

prove the case: support research and evaluation of NHS Health Check to provide evidence for future investment

PHE will bring strong scientific rigour to the programme

Key actions:

Expert Clinical and Scientific Advisory Panel

Review emerging evidence and research needs. In addition to the two DH national evaluations, PHE will also promote future research, development and evaluation of this programme

PHE will also coordinate a refresh of the economic modelling conducted in 2008, updating the assumptions in the light of new data, experience and programme changes

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NHS Health Check

This priorities for research document encourages commissioners of research and relevant research active organisations to address those research questions and other priorities that PHE and its stakeholders have identified as most relevant to the programme.

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Number of eligible persons offered / taking up NHS Health Check

Offers and uptake by local authority (2013/15)

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Blackpool

Bolton

Croydon

Doncaster

Hammersmith and Fulham

Isles of Scilly

Kingston upon Thames

Lambeth

Leicester

Portsmouth

Surrey

Wakefield

Wandsworth

Westminster

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0% 20% 40% 60% 80% 100%

Up

tak

e

Offers

NHS Health Checks 2013-2018(cumulative figures: 7 quarters) (as of 11/06/2015 – Fingertips updated early July 2015)

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Offered NHS Health Checks which were taken

NHS Health Checks offered to the eligible population

Better

Similar

Worse

Compare with England

http://healthierlives.phe.org.uk

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Local case studies

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Local case studies

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Local case studies

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Presentation title - edit in Header and FooterTwitter: @JamieWaterall

http://www.nhs.uk/Conditions/nhs-health-check/Pages/NHS-Health-Check.aspx

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Ron Morris: "Who knows what could have happened"

“I was a walking heart attack”

Thank youWorking together for the public’s health

Jamie WaterallNHS Health Check National Lead

e-mail: jamie.waterall@phe.gov.ukwebsite: www.healthcheck.nhs.uk Twitter: @JamieWaterall