Delivery and impact of the NHS Health Check in the first 8 years: a systematic review

Martin, Adam; Saunders, Catherine L.; Harte, Emma; Griffin, Simon J.; MacLure, Calum; Mant, Jonathan; Meads, Catherine; Walter, Fiona M; Usher‐Smith, Juliet A.

doi:10.3399/bjgp18x697649

Cited by 40 publications

(43 citation statements)

References 32 publications

(131 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data on impact are limited but have shown a small increase in disease detection, statin and anti-hypertensive prescriptions and a small decrease in modelled CVD risk. 186 A systematic review of 31 studies using multiple health behaviour changes in primary care to reduce cardiovascular risk in people without established CVD found a modest, statistically significant effect on individual behaviours and overall cardiovascular risk. 187 A meta-analysis of prospective controlled cohort studies and retrospective controlled cohort studies published since 1995 confirmed the efficacy of CR on cardiac prognosis even in the era of statin therapy and acute revascularisation.…”

Section: Clinical Settingsmentioning

confidence: 99%

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Piepoli

Abreu

Albus

et al. 2019

Eur J Prev Cardiolog

178

View full text Add to dashboard Cite

European guidelines on cardiovascular prevention in clinical practice were first published in 1994 and have been regularly updated, most recently in 2016, by the Sixth European Joint Task Force. Given the amount of new information that has become available since then, components from the task force and experts from the European Association of Preventive Cardiology of the European Society of Cardiology were invited to provide a summary and critical review of the most important new studies and evidence since the latest guidelines were published. The structure of the document follows that of the previous document and has six parts: Introduction (epidemiology and cost effectiveness); Cardiovascular risk; How to intervene at the population level; How to intervene at the individual level; Disease-specific interventions; and Settings: where to intervene? In fact, in keeping with the guidelines, greater emphasis has been put on a population-based approach and on disease-specific interventions, avoiding re-interpretation of information already and previously considered. Finally, the presence of several gaps in the knowledge is highlighted.

show abstract

Section: Clinical Settingsmentioning

confidence: 99%

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Piepoli

Abreu

Albus

et al. 2019

Eur J Prev Cardiolog

178

View full text Add to dashboard Cite

show abstract

“…Cost-effectiveness calculations for this programme were based on an assumed uptake of 75% of all those eligible [ 2 ]. However, since 2013 when delivery of NHS Health Check became a statutory responsibility of local authorities, < 50% of those eligible have received a NHS Health Check [ 3 ]. Improving the effectiveness and uptake of the programme is a key part of PHE’s strategic priority around predictive prevention to better predict and prevent poor health.…”

Section: Introductionmentioning

confidence: 99%

Influences on NHS Health Check behaviours: a systematic review

et al. 2020

View full text Add to dashboard Cite

Background National Health Service Health Checks were introduced in 2009 to reduce cardiovascular disease (CVD) risks and events. Since then, national evaluations have highlighted the need to maximise the programme’s impact by improving coverage and outputs. To address these challenges it is important to understand the extent to which positive behaviours are influenced across the NHS Health Check pathway and encourage the promotion or minimisation of behavioural facilitators and barriers respectively. This study applied behavioural science frameworks to: i) identify behaviours and actors relevant to uptake, delivery and follow up of NHS Health Checks and influences on these behaviours and; ii) signpost to example intervention content. Methods A systematic review of studies reporting behaviours related to NHS Health Check-related behaviours of patients, health care professionals (HCPs) and commissioners. Influences on behaviours were coded using theory-based models: COM-B and Theoretical Domains Framework (TDF). Potential intervention types and behaviour change techniques (BCTs) were suggested to target key influences. Results We identified 37 studies reporting nine behaviours and influences for eight of these. The most frequently identified influences were physical opportunity including HCPs having space and time to deliver NHS Health Checks and patients having money to adhere to recommendations to change diet and physical activity. Other key influences were motivational, such as beliefs about consequences about the value of NHS Health Checks and behaviour change, and social, such as influences of others on behaviour change. The following techniques are suggested for websites or smartphone apps: Adding objects to the environment, e.g. provide HCPs with electronic schedules to guide timely delivery of Health Checks to target physical opportunity, Social support (unspecified), e.g. include text suggesting patients to ask a colleague to agree in advance to join them in taking the ‘healthy option’ lunch at work; Information about health consequences, e.g. quotes and/or videos from patients talking about the health benefits of changes they have made. Conclusions Through the application of behavioural science we identified key behaviours and their influences which informed recommendations for intervention content. To ascertain the extent to which this reflects existing interventions we recommend a review of relevant evidence.

show abstract

“…Second, by screening children, FH is identified before the onset of clinical disease providing the opportunity for prevention in children, their siblings and their parents (median age 32 in the demonstration project) [8]. Electronic health records in adults are a potential supplement to identifying new FH index cases but largely miss the preventive opportunity (median age at an NHS Health Check is about 60 years) [22].…”

Section: Discussionmentioning

confidence: 99%

Reaching detection targets in familial hypercholesterolaemia: Comparison of identification strategies

Wald

Bestwick

2020

Atherosclerosis

View full text Add to dashboard Cite

show abstract

Delivery and impact of the NHS Health Check in the first 8 years: a systematic review

Cited by 40 publications

References 32 publications

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Influences on NHS Health Check behaviours: a systematic review

Reaching detection targets in familial hypercholesterolaemia: Comparison of identification strategies

Contact Info

Product

Resources

About