NHS Health Checks: Equity and outcomes 2009-17: An observational study.
<strong>Background</strong> The NHS Health Check cardiovascular prevention programme is now 10 years old. <br> <strong>Aim </strong> We describe NHS Heath Check attendance, new diagnoses and treatment in relation to equity indicators. <br> <strong>Design a...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Royal College of General Practitioners
2021
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| _version_ | 1797051045185060864 |
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| author | Robson, J Garriga-Fuentes, C Coupland, C Hippisley-Cox, J |
| author_facet | Robson, J Garriga-Fuentes, C Coupland, C Hippisley-Cox, J |
| author_sort | Robson, J |
| collection | OXFORD |
| description | <strong>Background</strong>
The NHS Health Check cardiovascular prevention programme is now 10 years old.
<br>
<strong>Aim </strong>
We describe NHS Heath Check attendance, new diagnoses and treatment in relation to equity indicators.
<br>
<strong>Design and Setting</strong>
Using a nationally representative database derived from 1,500 general practices 2009-17, we compared NHS Health Check attendance and new diagnoses and treatments, by age, gender, ethnic group and deprivation.
<br>
<strong>Results</strong>
In 2013-17, 590,218 eligible people age 40-74 years attended an NHS Health Check (16.9%) and 2,902,598 (83.1%) did not attend. South Asian ethnic groups were most likely to attend and women more than men.
New diagnoses were more likely in attendees than non-attendees; hypertension 25/1000 attendees vs 9/1000 in non-attendees; type 2 diabetes 8/1000 vs 3/1000; chronic kidney disease 7/1000 vs 4/1000. In people aged 65 or older, new atrial fibrillation was diagnosed in 5/1000 attendees and 3/1000 non-attendees and for dementia 2/1000 versus 1/1000 respectively. Type 2 diabetes, hypertension and CKD were more likely in more deprived groups, South Asian and black African/Caribbean ethnic groups.
Attendees were more likely to be prescribed statins, 26/1000, than non-attendees 8/1000; and anti-hypertensive medicines, 25/1000 vs 13/1000 non-attendees. However, of the 117,963 people with 10% or greater CVD risk eligible for statins only 9,785 (8.3%) were prescribed them.
<br>
<strong>Conclusions</strong>
NHS Health Checks uptake remains low. Attendees were more likely than non-attendees to be diagnosed with type 2 diabetes, hypertension and CKD and receive treatment with statins and antihypertensives. Most attendees received neither treatment nor referral. Of those eligible for statins, fewer than 10% were treated. |
| first_indexed | 2024-03-06T18:14:14Z |
| format | Journal article |
| id | oxford-uuid:040e7fb9-fb0e-47ec-8d36-cfa47671ef61 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:14:14Z |
| publishDate | 2021 |
| publisher | Royal College of General Practitioners |
| record_format | dspace |
| spelling | oxford-uuid:040e7fb9-fb0e-47ec-8d36-cfa47671ef612022-03-26T08:49:49ZNHS Health Checks: Equity and outcomes 2009-17: An observational study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:040e7fb9-fb0e-47ec-8d36-cfa47671ef61EnglishSymplectic ElementsRoyal College of General Practitioners2021Robson, JGarriga-Fuentes, CCoupland, CHippisley-Cox, J<strong>Background</strong> The NHS Health Check cardiovascular prevention programme is now 10 years old. <br> <strong>Aim </strong> We describe NHS Heath Check attendance, new diagnoses and treatment in relation to equity indicators. <br> <strong>Design and Setting</strong> Using a nationally representative database derived from 1,500 general practices 2009-17, we compared NHS Health Check attendance and new diagnoses and treatments, by age, gender, ethnic group and deprivation. <br> <strong>Results</strong> In 2013-17, 590,218 eligible people age 40-74 years attended an NHS Health Check (16.9%) and 2,902,598 (83.1%) did not attend. South Asian ethnic groups were most likely to attend and women more than men. New diagnoses were more likely in attendees than non-attendees; hypertension 25/1000 attendees vs 9/1000 in non-attendees; type 2 diabetes 8/1000 vs 3/1000; chronic kidney disease 7/1000 vs 4/1000. In people aged 65 or older, new atrial fibrillation was diagnosed in 5/1000 attendees and 3/1000 non-attendees and for dementia 2/1000 versus 1/1000 respectively. Type 2 diabetes, hypertension and CKD were more likely in more deprived groups, South Asian and black African/Caribbean ethnic groups. Attendees were more likely to be prescribed statins, 26/1000, than non-attendees 8/1000; and anti-hypertensive medicines, 25/1000 vs 13/1000 non-attendees. However, of the 117,963 people with 10% or greater CVD risk eligible for statins only 9,785 (8.3%) were prescribed them. <br> <strong>Conclusions</strong> NHS Health Checks uptake remains low. Attendees were more likely than non-attendees to be diagnosed with type 2 diabetes, hypertension and CKD and receive treatment with statins and antihypertensives. Most attendees received neither treatment nor referral. Of those eligible for statins, fewer than 10% were treated. |
| spellingShingle | Robson, J Garriga-Fuentes, C Coupland, C Hippisley-Cox, J NHS Health Checks: Equity and outcomes 2009-17: An observational study. |
| title | NHS Health Checks: Equity and outcomes 2009-17: An observational study. |
| title_full | NHS Health Checks: Equity and outcomes 2009-17: An observational study. |
| title_fullStr | NHS Health Checks: Equity and outcomes 2009-17: An observational study. |
| title_full_unstemmed | NHS Health Checks: Equity and outcomes 2009-17: An observational study. |
| title_short | NHS Health Checks: Equity and outcomes 2009-17: An observational study. |
| title_sort | nhs health checks equity and outcomes 2009 17 an observational study |
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