1. NHS Health Check Risk Assessment Process Sue Collins Promoting Health Engagement Lead

2. Prevention Programme

3. STROKE CHRONIC KIDNEY DISEASE CORONARY HEART DISEASE DIABETES PERIPHERAL VASCULAR DISEASE

4. Source: Health Diagnostics Ltd, 2009

5. For people aged 40 to 74 year olds Without established disease ~Coronary Heart Disease ~Chronic Kidney Disease ~Stroke, and Transient Ischaemic Attack (TIA) ~Diabetes ~Peripheral Vascular Disease (PVD). Who is it for?

6. Where can I get an NHS Health Check? GP surgery – All practices in South Tyneside Pharmacy – 12 Pharmacies across the area For further information visit: http://www.sotw.nhs.uk/yourhealth/livewell/healthcheck/pharmacies/ Community Delivery Team Nurse led outreach team operating at a variety of venues across South Tyneside for further information call 0845 673 0055 or visit: http://www.sotw.nhs.uk/yourhealth/livewell/healthcheck/community/

8. Risk factors fall into two categories, those that cannot be altered, and those that can be treated and / or prevented.

9. Those that cannot be altered: Age Gender Family History Ethnicity

10. Those that can be altered: Smoking Blood pressure Cholesterol Physical inactivity Obesity

11. Risk Assessment Standard questions: age gender ethnicity family history medical history / medication smoking status activity level alcohol consumption Measurements: height weight body mass index (BMI) blood pressure Simple blood test: Total cholesterol (TC), HDL and TC:HDL ratio

12. What does the risk score indicate? The score is presented as a percentage and may be categorised as low, moderate or high. The person is said to be: High risk - if the score is 20% or more Moderate risk - if the score is more than 10% but less than 20% Low risk - if the score is less than 10%

13. For example, a score of 20% is the same as saying 20 out of 100 people will develop vascular disease or 1 in 5. This means that without treatment the person has a 1 in 5 chance of developing heart disease or diabetes or having a heart attack or stroke within the next 10 years. However, it cannot predict what will happen to each individual person, it just gives you the odds.

15. To reduce risk Stop smoking Increase regular physical exercise Achieve optimal weight Sensible drinking Eat more fruit and vegetables. Less salt Involve the whole family

16. Sue Collins: Promoting Health Engagement Lead Tel: 0191 283 1155 E-mail: sue.collins@sotw.nhs.uksue.collins@sotw.nhs.uk