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JSNA Contents

Related to: Ill Health and Disability, Diabetes, Chronic Kidney Disease, Alcohol, Smoking, Hypertension, Coronary Heart Disease, Physical Activity, Inequalities

NHS Health Checks are a national scheme offered to adults in England aged 40-74 without a pre-existing condition. It includes checks of circulatory and vascular health, risk of diabetes, kidney disease and dementia, levels of physical activity and BMI. They are most commonly delivered through GP surgeries.

For more information about NHS Health Checks please click here

What does the data say?

Local Health Check data analysis 2014/15 1

NHS Health Check activity data was submitted by 23 of the 27 GP practices in B&NES for the period 01/04/2014 – 31/03/2015. This search identified 11,085 people who were invited for a NHS Health Check. Of these 5,204 attended their check, representing an average take up of 47%. 

Six practices had take-up that was significantly better than the B&NES average and six had significantly worse take-up than average.

The data shows that Age, gender and deprivation are linked to NHS Health Check attendance locally. Younger people, men and those living in more deprived areas are less likely to attend (quintile 1 is least deprived and 5 is most deprived)

Age Take Up % DeprivationTake Up % GenderTake up %
40 - 4435 Quintile 152 Male43
55 - 5950 Quintile 348 Female51
70-7464 Quintile 537   

Risk Profile of those who attended their health check:

  • 11% were current smoker
  • 16.1% were classified as obese (from BMI)
  • 38.9% were classified as overweight (from BMI)
  • 4.6% recorded as having high cholesterol (total cholesterol >=7.5mmols/l)
  • 22% moderately inactive or inactive (self-reported)
  • 3.7% had a high risk of cardiovascular disease (QRisk score of 20 or more)

Follow on activity

Referrals to weight management, smoking cessation, physical activity and alcohol interventions were not recorded for the majority of people who met the criteria for these interventions. The table below shows the level of prescribing and new diagnosis recorded in the 3 months following the health check compared to estimated levels through national modelling.  Levels were lower than predicted using the NHS modelling tool 2

Clinical Follow on ActivityB&NES recordedNational modelling
Statin prescription100162
New diagnosis Hypertension 348121
New diagnosis Diabetes1039
New diagnosis CKD<5100

  • 1. B&NES in-house analysis of data from 01/04/2014 to 31/03/2015
  • 2. NHS Health Check Ready Reckoner Tool v.9 28th May 2014 based on 45% take up
  • 3. Modelling based on number of newly prescribed anti-hypertensives