Wijne et al., 2013) and higher rates of death considered amenable to good quality healthcare (Glover, Williams, Heslop, Williams, Heslop, Oyinlola, & Grey, 2017). Systematic review has confirmed that the learning disability health check is effective for identifying unmet health need and leads to targeted actions (Robertson, Hatton, & Emerson E., Hatton, Emerson & Baines, 2014), although the need for research into outcomes over a longer term has been identified. General practices are remunerated for identifying and recording people with learning disabilities, as part of the Quality and Outcomes Framework (QOF) (National Institute for Health & Care Excellence, 2013). From QOF, the prevalence of learning disabilities was 0.5% of the population registered to general practices across England in 2017/18 (NHS Digital, 2018). The GP Contract incentivizes general practices to voluntarily participate in the learning disability health check scheme. Despite it not being a mandated service, the delivery of learning disability health checks has increased over time from 43.2% of people with learning disability receiving a check in 2014/15 to 55.1% in 2017/18 (NHS Digital, 2019b). However, just under half of those eligible, people with learning disabilities aged 14 and over are not receiving a health check and health action plan (NHS Digital, 2019a).