1. NHS Health Check NHS Health Check Programme in Norfolk Presented by Justine Hottinger

2. NHS Health Check National cardiovascular risk assessment programme which aims to prevent heart disease, stroke, diabetes and kidney disease and raise awareness of dementia. In April 2013 became mandated public health service in England. Local authorities have legal duties to Offer health checks to eligible people once every 5 years Deliver health checks Ensure individuals are told their results & CVD risk score Information is forwarded to GP (when HC conducted outside GP) Improve uptake rate Report local NHS Health Check data to central government NHS Health Check Programme

3. NHS Health Check Main causes of death in perspective for the East of England The causes of death are different to the risks leading to death The main cause of death is due to heart & circulatory disorders Available at NHS Choices http://www.nhs.uk/Tools/Page s/NHSAtlasofrisk.aspx http://www.nhs.uk/Tools/Page s/NHSAtlasofrisk.aspx

4. NHS Health Check Main preventable risks leading to death for the East of England The main risks leading to death are high blood pressure, smoking, high cholesterol and obesity. For men; smoking, high BP and high Cholesterol For women; high BP, high cholesterol and obesity All these risks are assessed at an NHS Health Check

5. NHS Health Check Been going since 2009, but national programme began in 2013. Use multiple providers GP’s, Pharmacies, Workplace & Prison Coverage across most of Norfolk Norfolk NHS Health Check Programme

6. NHS Health Check Patient choice Geographic coverage Flexibility of appointment time & venue One appointment May already know patient Part of the community Offer other services Pharmacy Health checks in Norfolk

7. NHS Health Check Eligible population: 275,335 (over 5 years 2013 – 2018) Annual target offers: 55,000 Actual offers: 42,049 Annual target delivery 36,300* Actual delivery: 22,293 * Based on 66% uptake Norfolk Performance

8. NHS Health Check Pharmacy delivered 2,295 10% of NHS Health Checks. Pharmacy provision varies over the year 6 – 8% in Q1 – Q3. In Q4 17% checks delivered by Pharmacy Norfolk Pharmacy NHS Health Check delivery 2014 -15

9. NHS Health Check Most patients use local pharmacy (with exceptions in central Norwich and KL) Activity level – huge variation between pharmacies Some pharmacies doing health checks on younger men (key group). Some pharmacies are referring to Lifestyle services Pharm Outcomes observations

10. NHS Health Check Any Questions ? Contact: Justine.Hottinger@norfolk.gov.uk 01603 638467