what can we learn from the nhs health check programme about reaching out?
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What can we learn from the NHS Health Check programme about reaching out?. Background. NHS Health Check Vascular disease poses a significant public health threat Causes 36% of deaths (170,000 pa in England), 4 mill ill/disabled Responsible for a fifth of all hospital admissions - PowerPoint PPT PresentationTRANSCRIPT
What can we learn from the NHS Health Check programme about reaching out?
BackgroundNHS Health Check Vascular disease poses a significant public health threat
Causes 36% of deaths (170,000 pa in England), 4 mill ill/disabled
Responsible for a fifth of all hospital admissions
Especially in deprived communities and in South Asians (in the UK, mortality from CHD is currently 46% higher for men and 51% higher for women of SA origin than in the non-Asian population)
Health inequalities
Vascular disease makes up approximately a third of the difference in life expectancy between spearhead areas and the rest of England.
Type II diabetes – a growing public health concernprevalence is increasingcontributes significantly to health inequalities
Offers a real opportunity to tackle health inequalitiesProvided PCTs focused on reducing these inequalities.
Purpose of the programme
• single universal programme for everyone aged 40-74 in England (3 million checks a year; 15 million cohort)
• preventive programme – not screening for disease• a risk assessment and management programme to help
people stay well for longer
Risk management key.
Vital that PCTs have the necessary services in place to support individuals in the management of their risk.
Clinically and cost effective
The NHS Health Check
• straightforward questions and simple blood test
• measure risk of diabetes, heart disease, stroke and chronic kidney disease
• set out how to reduce risk/maintain low risk
• offer tailored package of prevention
• repeat check after 5 years – call and recall system
Suitable for a variety of settings e.g. pharmacies and community facilities
Clinically and cost effective
Impact of the programme
Each year will prevent at least:
• 1,600 heart attacks and strokes
• 4000 people developing diabetes
• Detect 20, 000 cases diabetes and kidney disease early
[Prevention figures are cautious estimates based only on known effective management applied to those at high risk]
National programme/ local delivery
National programme:• set of core tests which are consistently and
systematically delivered across the country
Locally delivered:• PCTs decide how best to implement in their areas to
broaden coverage and reduce not widen health inequalities
Clinically and cost effective
What are PCTs doing to ensure programme is accessible?
PCTs taking a number of approaches to ensure programme is accessible:-
• social marketing• different settings• range of providers• different health care professionals and workers• communication of results
All rely on PCTs knowing and understanding their population
Know your population
Location, Location, Location
Range of providers
Different health care professionals and workers
Communication of results
What can we learn from the NHS Health Check programme about reaching out?
• Based their approaches on past experience from other programmes
• Some very specific learning from NHS Health Check programme e.g. – management of clinical waste, – communication of risk – POCT/one shop can improve take up
• Generic learning – understand your customers and what they relate too– need different approaches for different groups – test out approaches with likely users– right type and level of support services need to be in place e.g. translators,
motivational interviewing, coaching, mentoring– Ongoing evaluation – better understand reasons for takeup and refine
approach to provision accordingly