Observational studyBMJ open2016
The NHS Health Check in England: an evaluation of the first 4 years.
Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
105 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Pooled it
- Characteristics of participants who take up screening tests for diabetes and lipid disorders: a systematic review.BMJ open · 2022Pooled it
- Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys.Lancet (London, England) · 2019Pooled it
- General health checks in adults for reducing morbidity and mortality from disease.The Cochrane database of systematic reviews · 2019Pooled it
- Barriers and facilitators to participation in a health check for cardiometabolic diseases in primary care: A systematic review.European journal of preventive cardiology · 2018Pooled it
- 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 · 2018Pooled it
- Reasons why people do not attend NHS Health Checks: a systematic review and qualitative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Views of commissioners, managers and healthcare professionals on the NHS Health Check programme: a systematic review.BMJ open · 2017Pooled it
- Increasing uptake of NHS Health Checks: a randomised controlled trial using GP computer prompts.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- Enhanced motivational interviewing for reducing weight and increasing physical activity in adults with high cardiovascular risk: the MOVE IT three-arm RCT.Health technology assessment (Winchester, England) · 2019Trial
- Applying behavioural science to increase uptake of the NHS Health Check: a randomised controlled trial of gain- and loss-framed messaging in the national patient information leaflet.BMC public health · 2019Trial
- Evaluating the effectiveness of the NHS Health Check programme in South England: a quasi-randomised controlled trial.BMJ open · 2019Trial
- The effect on participation rates of including focused spirometry information in a health check invitation: a cluster-randomised trial in Denmark.BMC public health · 2019Trial
- Trial
- Barriers and Enablers to Capsule Sponge Screening Among People With Heartburn: A Community-Based Qualitative Study in the UK.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Implementation of cardiovascular disease risk prediction scores in Sub-Saharan Africa: a scoping review.BMC health services research · 2026Article
- A mixed method evaluation using the RE-AIM framework of a student-led community-based cardiovascular disease screening clinic in an urban community setting.Frontiers in public health · 2026Article
- A Scoping Review of Noncommunicable Disease Programs Evaluation: Bridging Gaps and Improving Frameworks in Primary Healthcare.Health science reports · 2026Review
- Targeted adult hearing loss screening in the UK: policy options for equitable implementation through health-service pathways.Frontiers in public health · 2026Article
- Trends and inequalities in statin use for the primary and secondary prevention of cardiovascular disease between 2009 and 2021 in England: a series of cross-sectional and cohort studies.BMJ public health · 2026Article
45 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectivesTo describe implementation of a new national preventive programme to reduce cardiovascular morbidity.
designObservational study over 4 years (April 2009--March 2013).
setting655 general practices across England from the QResearch database.
participantsEligible adults aged 40-74 years including attendees at a National Health Service (NHS) Health Check.
interventionNHS Health Check: routine structured cardiovascular check with support for behavioural change and in those at highest risk, treatment of risk factors and newly identified comorbidity.
resultsOf 1.68 million people eligible for an NHS Health Check, 214 295 attended in the period 2009-12. Attendance quadrupled as the programme progressed; 5.8% in 2010 to 30.1% in 2012. Attendance was relatively higher among older people, of whom 19.6% of those eligible at age 60-74 years attended and 9.0% at age 40-59 years. Attendance by population groups at higher cardiovascular disease (CVD) risk, such as the more socially disadvantaged 14.9%, was higher than that of the more affluent 12.3%. Among attendees 7844 new cases of hypertension (38/1000 Checks), 1934 new cases of type 2 diabetes (9/1000 Checks) and 807 new cases of chronic kidney disease (4/1000 Checks) were identified. Of the 27,624 people found to be at high CVD risk (20% or more 10-year risk) when attending an NHS Health Check, 19.3% (5325) were newly prescribed statins and 8.8% (2438) were newly prescribed antihypertensive therapy.
conclusionsNHS Health Check coverage was lower than expected but showed year-on-year improvement. Newly identified comorbidities were an important feature of the NHS Health Checks. Statin treatment at national scale for 1 in 5 attendees at highest CVD risk is likely to have contributed to important reductions in their CVD events.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.