Evidence map›Paper›PMID 25869692›Full record

Observational studyBMJ open2015

The NHS Health Check programme: implementation in east London 2009-2011.

John Robson, Isabel Dostal, Vichithranie Madurasinghe, Aziz Sheikh, Sally Hull, Kambiz Boomla, Helen Page, Chris Griffiths, Sandra Eldridge

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Delivery and impact of the NHS Health Check in the first 8 years: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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  14. NHS Health Check comorbidity and management: an observational matched study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017 · on this map
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

John RobsonCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Isabel DostalCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Vichithranie MadurasingheCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Aziz SheikhCentre for Population Health Sciences, the University of Edinburgh, Edinburgh, UK.
Sally HullCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Kambiz BoomlaCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Helen PageLondon Borough of Newham, Newham Dockside, London, UK.
Chris GriffithsCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Sandra EldridgeCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Queen Mary University of London · GBLondon Borough Of Lewisham · GBUniversity of Edinburgh · GB

Funding

Medical Research Council MR/K006584/1Medical Research Council MR/K007017/1
6 · The paper itself

Abstract

objectivesTo describe implementation and results from the National Health Service (NHS) Health Check programme.

designThree-year observational open cohort study: 2009-2011.

participantsPeople of age 40-74 years eligible for an NHS Health Check.

setting139/143 general practices in three east London primary care trusts (PCTs) serving an ethnically diverse and socially disadvantaged population.

methodImplementation was supported with education, IT support and performance reports. Tower Hamlets PCT additionally used managed practice networks and prior-stratification to call people at higher cardiovascular (CVD) risk first. MAIN OUTCOMES MEASURES: Attendance, proportion of high-risk population on statins and comorbidities identified.

resultsCoverage 2009, 2010, 2011 was 33.9% (31,878/10,805), 60.6% (30,757/18,652) and 73.4% (21,194/28,890), respectively. Older people were more likely to attend than younger people. Attendance was similar across deprivation quintiles and was in accordance with population distributions of black African/Caribbean, South Asian and White ethnic groups. 1 in 10 attendees were at high-CVD risk (20% or more 10-year risk). In the two PCTs stratifying risk, 14.3% and 9.4% of attendees were at high-CVD risk compared to 8.6% in the PCT using an unselected invitation strategy. Statin prescription to people at high-CVD risk was higher in Tower Hamlets 48.9%, than in City and Hackney 23.1% or Newham 20.2%. In the 6 months following an NHS Health Check, 1349 new cases of hypertension, 638 new cases of diabetes and 89 new cases of chronic kidney disease (CKD) were diagnosed. This represents 1 new case of hypertension per 38 Checks, 1 new case of diabetes per 80 Checks and 1 new case of CKD per 568 Checks.

conclusionsImplementation of the NHS Health Check programme in these localities demonstrates limited success. Coverage and treatment of those at high-CVD risk could be improved. Targeting invitations to people at high-CVD risk and managed practice networks in Tower Hamlets improved performance.

Indexed as

Health Services AccessibilityAdultAgedCardiovascular DiseasesDiabetes MellitusFemaleHealthcare DisparitiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypertensionLondonMaleMiddle AgedPreventive Health ServicesPrimary Health CareProgram EvaluationHydroxymethylglutaryl-CoA Reductase InhibitorsPREVENTIVE MEDICINEPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID25869692
PMCPMC4401839
OpenAlexW1995987981

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.