NHS Health Check National Learning Network 12th Workshop - London 16 November 2011

Welcome and Introductions Nicola Strother Smith National Director NHS Diabetes and Kidney Care

Department of Health Policy Update Liz Woodeson Director of Heath and Wellbeing Health Improvement and Protection Directorate Department of Health Some suggested speaking notes/ ideas…………. I’m Liz Woodeson – the Director of Health and Wellbeing in the Department of Health I have taken over responsibility for the NHS Health Check programme and I’ll say a little bit more about that and why in a moment. But first of all, I’d like to say how truly delighted I am to be involved in the programme, and to see so many of you attending what is now the 12th Learning Network for what I think is a particularly special and innovative programme. Its a programme that really matters, and is of increasing importance as we work to prevent the rising tide in overweight and obesity, and in type 2 diabetes, as well as prevent heart disease, stroke and kidney disease. Ministers recognise this and that is why they continue to support the programme, and see it as a major player in the new landscape of heath and social care.

Update to cover Liz Woodeson – Director of Health & Wellbeing Changes within the Department Modernisation of services Richard Cienciala – Branch Head, Obesity Activity in 2011/12 Dataset implementation Informatics update Suggested speaking notes: I’m going to talk to you about the changes within the Department which affect the programme and why they have happened, and provide you with an update on the modernisation of services as they affect the programme. I’m then going to introduce you to Richard Cienciala, the branch head who has taken over responsibility for the programme …and he will get down to brass tacks and the operational side of things providing you with an overview of performance so far this year and updating you on other developments.

Changes within the Department (1) Significant, positive changes to report on positioning of programme within DH None of which diminish the importance of the programme for the Government or affect its implementation and future At the last Learning Network…. Roger Boyle’s retirement as National Clinical Director for Heart Disease and Stroke Said goodbye to Elizabeth Lynam – previous Branch Head – off to explore new horizons Some suggested speaking notes/ ideas…………. There have been some significant and very positive changes to report within the Department which affect the NHS Health Check programme…none of which diminish the importance and profile of the NHS Health Check programme but which in fact support it. At the last Learning Network in July – the 11th in the series – you saw the retirement of Roger Boyle, National Clinical Director for Heart Disease and Stroke, recently knighted for his role in improving heart and stroke services. And you also said goodbye to Elizabeth Lynam the previous branch head responsible for the programme. 5

Changes within the Department (2) Programme transferred to Health & Well Being Fits well with overall roll of Division in public health Obesity, PA and smoking sit within division Strategically well placed Some suggested speaking notes/ ideas…………. Since then, myself and the Health and Wellbeing Division have taken over responsibility for the NHS Health Check programme, with Richard Cienciala as the new Branch Head and he will be introducing himself and talking to you in a little while. The programme will continue to have Alison Daykin as the policy lead. ..and Diabetes and Kidney Care colleagues – Eleanor Kent and Nicola Strother Smith – will continue to provide invaluable support to the programme and support yourselves in its implementation. As with any change there are challenges and opportunities and I certainly see my involvement in the programme and its positioning within my Division as an exciting opportunity. And I also think it demonstrates the commitment of the Department and Ministers to public health. The division leads on the responsibility deal for food and also holds responsibility for national policy on tobacco, obesity and physical activity – all key aspects of the NHS Health Check. So the programme fits perfectly on a strategic level, will support these policy areas and vice versa 6

Modernisation of services - headlines Health and Social Care Bill going through Public Bill Committee stage in House of Lords PHE will become operational in April 2013 NHS Health Checks funded from PH budget Responsibility transferred to LAs from April 2013 Plan to mandate LAs to provide NHS Health Check assessment 7

Modernisation of services (2) Transfer of programme to LAs – a challenging time PCTs doing a fantastic job – keep momentum going Work Nationally to help ensure smooth transition Ongoing Learning Network events Strong contender for inclusion in Public Health Outcome Framework – will know more in a few weeks Looking for continuity in the transitional year 2012/13 and trying to ensure levers in place to achieve this 8

Department of Health Policy Update Richard Cienciala Branch Head -Obesity Health and Wellbeing 9

Activity in 2011/12 3rd year of implementation Last year of phased implementation Supporting measuring in 2011/12 NHS OF PCT plans should enable 90% roll out - 18% of their eligible cohort to be offered an NHS Health Check Most of the country aiming for 18% Plans take incremental approach Activity building each quarter Data being published for first time 10

Q2 Vital Signs Data - 2011/12 Q2 vital signs data fresh out this morning Expecting ~ 1.4 million NHS Health Checks to be offered ~985 000 actually offered ~480000 checks received ~49% take up rate Performance discussions where PCTs more than 5% off track Q2 Performance Measures Returns published this morning This is the second quarter we have published data on the delivery of the NHS Health Check programme. Looking at the graph, the top line shows the rough level of offers we were expecting, the second line down the actual offers made, and the third line down the number of NHS Health Checks actually carried out. Roughly speaking at this stage would be expecting about 1.4 million offers to have been made nationally, with just under a million actually offered and a take up rate of 49% on average, with large variations across the country. Overall, down on plans which we need to get back on track BUT operating in challenging times. Doing well under the circumstances and enthusiasm and commitment borne out by attendance today. 11

IT Interim solution featured at previous Learning Networks Information sheet provided in your delegate packs DH funding CfH to roll out to those interested 11 PCTs using software, with others interested Long term IT support still being worked on Baseline work/ 1st phase of scoping exercise to report Dec. 12

Dataset - recap Full approval by Information Standards Board (ISB) Implementation underway Discussions with software providers about data extraction Valuable info Nationally about programme’s performance Working with NHS Information Centre on reporting At National level Play back of information to PCTs/LAs 13

Dataset Data will be extracted by GP software providers and flowed to Information Centre January – aiming for a first test extraction of limited data July 2012 – full extraction of data to start quarterly PCTs don’t need to extract data Do need to ensure GPs are recording the data on patient records / programme compiling with collection rules. 14

Quality assurance Working with SHAs to develop a process to ensure: Consistency Standardization At key points in the process Proportionate and affordable Also considering as part of scoping It support Can still continue to implement the programme whilst this is being developed 15

Questions Q & A panel this afternoon Team from the Department and the Information Centre around all day Surgery sessions on specific areas today Or Email – nhshealthchecks@dh.gsi.gov.uk 16