1. NHS Health Checks : Healthy Living Centre Team and Colleagues 3 rd June 2015 Bristol Amanda Chappell

2. Aims of Session Give a brief overview of the NHS Health Checks Programme Components of a NHS Health Check Preventable morbidity and mortality in Bristol What are we doing in Bristol to reach high risk communities ? The enhanced outreach model http://www.healthcheck.nhs.uk/commissioners_and_he althcare_professionals/national_nhs_health_check_eve nts/nhs_health_check_conference_26th_feb_2015_/http://www.healthcheck.nhs.uk/commissioners_and_he althcare_professionals/national_nhs_health_check_eve nts/nhs_health_check_conference_26th_feb_2015_/

3. Overview Mandatory preventative programme (5 yearly) Criteria and eligibility Route 66 Social gradient The top 7 causes of cardiovascular ( and other) disease ( that are modifiable) Components of an NHS Health Check

4. The top 7 causes of preventable deaths High blood pressure Smoking High Cholesterol Obesity Poor diet Physical inactivity Alcohol consumption. “The early identification and management of these risks could substantially reduce morbidity, mortality and health inequalities that result from the diseases they cause”. Public Health England May 2015

5. The 3 key components of an NHS Health Check 1. Risk assessment 2. Risk awareness 3. Risk management Standardised tests used to measure risk Communicate CVD risk as well as inform a discussion on Lifestyle and medical approach to reduce/manage risk

6. Update continued and other exciting local developments Healthy Living Centre Taxi drivers, Job Centre Plus, Mental Health Teams, Domiciliary Staff HMP Bristol Telephone Outreach Community Outreach ( inner city) In-reach(community champions and all Bristol practices) Pharmacists GP Practices working closely with Community Groups

7. Non communicable diseases and prevention

12. University of Bristol 1. Uptake of Health Checks: Patients motivations mostly related to preventative reasons and a desire to be informed about risk factors and early warning signs, as these patients highlight: “ If they pick up something…you’re sort of doing the preventative rather than actually dealing with something which..may be worse….’ ( Mrs Monroe, 65-69 yrs, 3 rd quintile, medium risk) A few patients indicated that they did not wish to be a burden on their family, the NHS or state: ‘..yeah, try and keep myself healthy as I can, to try and reduce that kind of pressure on society’ ( Mrs Kelly, 4 th quintile, low risk) ‘And I have changed my diet um and, and lost a stone in weight I thinks as a result actually. So I am happy with that, that makes me feel even healthier’ ( Mrs Gray, 55-59 yrs 3rd quintile, medium risk)

13. University of Bristol –Inner City Outreach ‘And there was ordinary, regular people saying, “Come and have it done, ‘cos we’ve had it done, and why not?” So I think that’s what made the difference: it was in – it was in a language and in a place that the local community could understand and trust really.’ (Engagement worker) Well it’s central, so it’s right in the middle of the community, so that’s something.’ (ID 10, female, 55 yrs, medium risk score) But if you – people [health centre staff] coming out to a community, then they’re coming with the – they’re showing you that they’ve got time, they’re bringing the time to come out, you know, maybe that’s better, dunno, you know.’ (ID 1, male, 46 yrs, low risk) ‘it’s nice to see someone from your own community there ‘cause they have a better understanding of your own culture like food and stuff’ (Female attendee)

14. Questions about the programme