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

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

3. 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.

4. 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.

5. 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

6. 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

7. 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

8. 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

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

10. 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

11. Q2 Vital Signs Data /12
Q2 vital signs data fresh out this morning
Expecting ~ 1.4 million NHS Health Checks to be offered
~ actually offered
~ 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

12. 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

13. 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

14. 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 – 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

15. 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

16. Questions Q & A panel this afternoon
Team from the Department and the Information Centre around all day
Surgery sessions on specific areas today
Or – 16