nhs health check an opportunity to engage 15 million people to live well for longer jamie waterall...
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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: [email protected]: www.healthcheck.nhs.uk Twitter: @JamieWaterall