@article { , title = {The NHS Health Check in England: an evaluation of the first 4?years}, abstract = {Objectives: To describe implementation of a new national preventive programme to reduce cardiovascular morbidity. Design: Observational study over 4 years (April 2009—March 2013). Setting: 655 general practices across England from the QResearch database. Participants: Eligible adults aged 40–74 years including attendees at a National Health Service (NHS) Health Check. Intervention: NHS Health Check: routine structured cardiovascular check with support for behavioural change and in those at highest risk, treatment of risk factors and newly identified comorbidity. Results: Of 1.68 million people eligible for an NHS Health Check, 214 295 attended in the period 2009–12. Attendance quadrupled as the programme progressed; 5.8\% in 2010 to 30.1\% in 2012. Attendance was relatively higher among older people, of whom 19.6\% of those eligible at age 60–74 years attended and 9.0\% at age 40–59 years. Attendance by population groups at higher cardiovascular disease (CVD) risk, such as the more socially disadvantaged 14.9\%, was higher than that of the more affluent 12.3\%. Among attendees 7844 new cases of hypertension (38/1000 Checks), 1934 new cases of type 2 diabetes (9/1000 Checks) and 807 new cases of chronic kidney disease (4/1000 Checks) were identified. Of the 27 624 people found to be at high CVD risk (20\% or more 10-year risk) when attending an NHS Health Check, 19.3\% (5325) were newly prescribed statins and 8.8\% (2438) were newly prescribed antihypertensive therapy. Conclusions: NHS Health Check coverage was lower than expected but showed year-on-year improvement. Newly identified comorbidities were an important feature of the NHS Health Checks. Statin treatment at national scale for 1 in 5 attendees at highest CVD risk is likely to have contributed to important reductions in their CVD events.}, doi = {10.1136/bmjopen-2015-008840}, eissn = {2044-6055}, issue = {1}, journal = {BMJ Open}, publicationstatus = {Published}, publisher = {BMJ Publishing Group}, url = {https://nottingham-repository.worktribe.com/output/772905}, volume = {6}, year = {2016}, author = {Robson, John and Dostal, Isabel and Sheikh, Aziz and Eldridge, Sandra and Madurasinghe, Vichithranie and Griffiths, Chris and Coupland, Carol and Hippisley-Cox, Julia} }