nhs health check nhs health check programme in norfolk presented by justine hottinger
TRANSCRIPT
NHS Health Check
NHS Health Check Programme in Norfolk
Presented by Justine Hottinger
NHS Health Check
• National cardiovascular risk assessment programme which aims to prevent heart disease, stroke, diabetes and kidney disease and raise awareness of dementia.
• In April 2013 became mandated public health service in England.
• Local authorities have legal duties to• Offer health checks to eligible people once every 5 years• Deliver health checks• Ensure individuals are told their results & CVD risk score• Information is forwarded to GP (when HC conducted outside GP)• Improve uptake rate• Report local NHS Health Check data to central government
NHS Health Check Programme
NHS Health Check
Main causes of death in perspective for the East of England
• The causes of death are different to the risks leading to death
• The main cause of death is due to heart & circulatory disorders
• Available at NHS Choices http://www.nhs.uk/Tools/Pages/NHSAtlasofrisk.aspx
NHS Health Check
Main preventable risks leading to death for the East of England
• The main risks leading to death are high blood pressure, smoking, high cholesterol and obesity.
• For men; smoking, high BP and high Cholesterol
• For women; high BP, high cholesterol and obesity
• All these risks are assessed at an NHS Health Check
NHS Health Check
• Been going since 2009, but national programme began in 2013.
• Use multiple providers GP’s, Pharmacies, Workplace & Prison
• Coverage across most of Norfolk
Norfolk NHS Health Check Programme
NHS Health Check
• Patient choice
• Geographic coverage
• Flexibility of appointment
time & venue
• One appointment
• May already know patient
• Part of the community
• Offer other services
Pharmacy Health checks in Norfolk
NHS Health Check
Eligible population: 275,335 (over 5 years 2013 – 2018)
Annual target offers: 55,000Actual offers: 42,049
Annual target delivery 36,300*Actual delivery: 22,293
* Based on 66% uptake
Norfolk Performance
Q1 Q2 Q3 Q4 Year Q1 Q2 Q3 Q4 Year
Of-fered
8971 10945 9861 12272 42049
Deliv-ered
4807 5159 5060 7267 22293
Up-take Rate
0.535837699253149
0.471356783919598
0.513132542338505
0.592161016949153
0.530167185902162
2500
12500
22500
32500
42500
5.00%15.00%25.00%35.00%45.00%55.00%65.00%
NHS Health Check ProgrammeOffered, Delivered and Uptake Rate in Norfolk
(Yr2: 2014 - 2015)
Offered Delivered Uptake Rate
NHS Health Check
• Pharmacy delivered 2,295 10% of NHS Health Checks.
• Pharmacy provision varies over the year 6 – 8% in Q1 – Q3.
• In Q4 17% checks delivered by Pharmacy
Norfolk Pharmacy NHS Health Check delivery 2014 -15
Q1 Q2 Q3 Q40
1000
2000
3000
4000
5000
6000
7000
8000
NHS Health CheckProviders numbers in Norfolk
Yr 2: 2014 - 15
GP Pharmacy Workplace Prison
NHS Health Check
• Most patients use local pharmacy (with exceptions in central Norwich and KL)
• Activity level – huge variation between pharmacies
• Some pharmacies doing health
checks on younger men (key group).
• Some pharmacies are referring to Lifestyle services
Pharm Outcomes observations
