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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999

NHS Health Check Programme Standards: A framework for quality improvement

Background

A Quality Assurance Working Group was established in late August 2013. The purpose was to co-ordinate and oversee the establishment and implementation of national standards by consolidating existing QA knowledge and expertise.  The development of the national standards took a failsafe approach and followed the risk assessment of the pathway.  These standards should very much be seen as a starting point and are about establishing a culture of improvement.  There was significant stakeholder engagement in the development of the standards and they were sent out for consultation in December 2013. The Programme Standards were formally launched at the 'NHS Health Check 2014: share, listen, act’ conference on the 27th of February 2014.


National Guidance

The QA commissioning guidance was written following involvement of a number of commissioners and providers. It helps local commissioners strengthen the quality assurance mechanisms they have in place. The document provides a rationale behind why QA is so important and it defines:

A risk assessment template is also available in Appendix 2 of the QA Commissioning Guidance. This can be used locally to identify risks in the pathway and outline actions to mitigate against those risks.

Quality Assurance for the NHS Health Check programme: Commissioning Guidance - January 2012


National Quality Assurance Review

A national QA review took place in 2013 and the report can be found here. The review describes and evaluates three different Quality Assurance (QA) mechanisms in place across England in the commissioning and delivery of NHS Health Checks. Reviewing each approach has generated generalizable knowledge relating to implementing a QA mechanism for NHS Health Checks, with the view to inform decision making regarding potentially developing a national QA approach.

Please contact the NHS Health Check team if you have developed similar QA systems locally – these might include patient level data extraction systems, routine monitoring of quality, questionnaires or self-assessments sent to Providers or QA visits. Also please get in touch if you are interested in getting involved. We would be really interested to learn what is in place so that we can share good practice and use learning to inform the development of guidance.  


Local Examples

NHS Leeds - Quality Assurance framework

Oxfordshire County Council  has developed and implemented a Quality Assurance Audit Tool and  audit process to assess the quality of local NHS Health Check delivery against the PHE NHS Health Check Programme Standards 2014/15.

The Oxfordshire QA Tool was used during visits to participating GP providers of the NHS Health Check programme between October 2014 and March 2015.  Concurrently, the council performed a Read Code data extraction from providers to assess the quality of data recording against the programme standards. Results were compiled in a dashboard and used to inform feedback.

The council concluded that the process was acceptable to providers ,was effective in identifying strengths and weaknesses in local delivery and has been used to inform next steps.  The process, tools and results have been shared here for Local Authorities to use as a reference point and example of local good practice.


If you have any local examples you would like to add to this page, please contact the NHS Health Check team.

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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999