A process evaluation of the NHS Health Check care pathway in a primary care setting

Baker, Colin and Loughren, Elizabeth A and Crone, Diane and Kallfa, Nevilla (2015) A process evaluation of the NHS Health Check care pathway in a primary care setting. Journal of Public Health, 37 (2). pp. 202-209. ISSN 1741-3842

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Abstract

Background. More evidence is needed concerning the implementation of the NHS Health Check programme in order to identify areas for improvement. The aim of the study was to investigate the way in which the Gloucestershire NHS Health Check programme care pathway was followed and interpreted compared with national programme indicators. Methods. A cross sectional review of Gloucestershire's Health Checks was undertaken to assess programme performance via a primary care audit of key indicators within a cohort of 83 GP practices and an eligible population of 210 513. Data were assessed to compare differences between practices and to compare county data with national indicators. Results. The annual programme uptake was 49.8% and a total of 1031 patients were diagnosed with cardiovascular disease (CVD). Variations in the detection of modifiable risk factors in relation to the NHS Ready Reckoner were identified: diabetes (−0.04%), CKD (−0.9%), hypertension (−19.9%); obesity (−7.1%); low physical activity (−57.7%) and smoking (−14.3%). Conclusions. Disparities in uptake and implementation of the care pathway demonstrate inconsistencies in the application of processes and knowledge. There appears to be an overestimation of CVD risk by the Ready Reckoner tool likely to be attributable to a failure to adjust for existing local early identification efforts in primary care and prevention.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: NHS Health Check Programme, Public health, England
Related URLs:
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 09:45
Last Modified: 04 Apr 2017 07:12
URI: http://eprints.glos.ac.uk/id/eprint/2404

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