Gloucestershire NHS Health Checks (2012) Evaluation Report

Baker, Colin and Loughren, Elizabeth A and Crone, Diane (2013) Gloucestershire NHS Health Checks (2012) Evaluation Report. Project Report. University of Gloucestershire, Gloucester.

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Abstract

Aim: To assess the impact of the NHS Health Check programme in Gloucestershire and inform its future commissioning. Background: The programme aims to identify cardiovascular disease, its risk factors and support their modification for those eligible. Methodology: A process evaluation using a quasi-experimental design was deployed to evaluate some of the key outputs of the Health Check Programme for the period July 2011 to July 2012. Annual output data (invited n = 42,103 of which 49.8% attended) was combined with a patient survey (n = 2,346 of which 42.6% responded), and interviews conducted with stakeholders involved in service delivery (n = 30 out of 55 targeted). Results: Cardiovascular disease diagnoses were 8.1% less than the expected national average (i.e. national ready reckoner). Actual versus expected diagnosis were the same for diabetes, -0.9% for CKD and significantly lower for hypertension (-19.9%). The following variations in the detection of modifiable risk factors between expected and actual were identified: obesity (-7.1%); low physical activity (-57.7%) and smoking (-14.3%). However, variations for subsequent referrals and clinical management were: weight loss (-2.7%); smoking (+3.9%); brief exercise intervention (+1.1%), antihypertensive (+2.7%) and statins (+2.9%). Patients strongly agreed that the Health Check was worth attending and stakeholders perceived early disease prevention as a key benefit. Conclusions: The low levels of risk factor identification may indicate that proactive work already underway in primary care is helping to identify and address hypertension, obesity and smoking.

Item Type: Monograph (Project Report)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Schools and Research Institutes > School of Sport & Exercise
Research Priority Areas: Sport, Exercise, Health & Wellbeing
Depositing User: Colin Baker
Date Deposited: 23 Jun 2015 12:03
Last Modified: 23 Jun 2015 12:03
URI: http://eprints.glos.ac.uk/id/eprint/2381

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