NHS

Ask a question?

Was this page useful?

Ask a question

If there's something you'd like to know and you can't find it on our website please fill in the short form below and we'll get back to you. We aim to respond to questions within 5 working days.

Name:*

Job title:

Organisation:

Email:*

Telephone:

Question:*

Please tick this box if you do not want to
receive our Newsletter

* Required fields

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

Frequently asked questions

NHS Health Check - frequently asked questions - June 2013

We thought it would be helpful to share with you some of the questions and answers that the national team get asked each month. You can find a couple of points that were raised recently below.

July 2016

What CQC registration do NHS Health Check providers need?

The requirement for CQC registration is based upon the specific activities of a service provider and is detailed on the CQC website at http://www.cqc.org.uk/organisations-we-regulate/registering-first-time/regulated-activities. For community based delivery of NHS Health Checks by a provider other than a GP Practice, guidance from CQC for the regulated activity of Diagnostics and Screening procedure is that non-ambulatory blood pressure and blood tests carried out by means of a pin prick test are excluded from the need to have registration.  GP Practices require CQC registration as they deliver a far wider range of activities.  It is important to note that this guidance from the CQC is for the activities specified only and that provider organisations are responsible in law to satisfy themselves whether CQC registration is required for any other service they provide.

October 2015

Is a pregnant woman eligible for an NHS Health Check and if so, what guidance is there on calculating the risk score as pregnancy will affect weight and BMI?

Pregnancy could have an effect on key metrics such as blood pressure and BMI, which in turn will affect the CVD risk score. We advise that the person should not be excluded but deferred until after delivery.

January 2015

Why are people over the age of 75 excluded from the programme?

The NHS Health Check is available to individuals between 40 and 74 years of age without existing cardiovascular disease. Individuals over the age of 75 have a named accountable GP. One of the responsibilities of the accountable GP is to provide a health check on request where an examination hasn’t been performed in the preceding 12 months.

December 2014

Will PHE be producing guidance on how to commission the NHS Health Check programme?

No. Local authorities are required, as part of the constitution, to produce a procurement strategy and procurement rules and each local authority publishes these on its website. Each procurement strategy is bespoke specialist procurement and legal teams are employed by local authorities. These teams provide specialist support and advice on implementing the local strategy and procuring the wide range of public services that local authorities are responsible for.

Public health commissioners with the support of their own council's local procurement and legal experts are best placed to make local commissioning decisions about the NHS Health Check programme. PHE will continue to publish the programme’s best practice guidance to support both commissioners and providers in securing the delivery of a high quality service that the service meets the requirements of the Local Authorities Regulations 2013. You can also find general information on local government procurement including the national Local Government Procurement Strategy on the LGA website

September 2014

What is PHE's position on the revised NICE guidance on lipid modification?

In August 2014 the NHS Health Check Expert Scientific and Clinical Advisory Panel (ESCAP) discussed the implications of NICE’s revised guidance on lipid modification and cardiovascular risk assessment for the NHS Health Check programme.

The key outcomes from this discussion are set out below:

July 2014

Does the GP global contract include responsibilities on recording patient data?

Yes. As part of the global contract with general practice there are two clauses that relate to recording data. These require practices to:

a)    Keep adequate records of patient attendance and treatment.

b)    Include in patient records clinical reports sent from any other health care professional who has provided clinical services to a person on its list of patients.

You can find the two relevant clauses (16.1.2 and 16.1.3) in the global contract

June 2014

What are the implications of the recent changes to QOF hypertension indicators for the NHS Health Check programme?

QOF continues to incentivise regular testing of blood pressure in the over 40s and blood pressure control in people diagnosed with hypertension. However, for 14/15 several hypertension indicators have been retired including that rewarding control to140/90.

It is important to note that current NICE Clinical Guideline 127 for management of hypertension still recommends further investigative steps for patients with an initial reading above 140/90 (section 1.2) and still identifies a blood pressure below 140/90 as the aim for people under 80 with treated hypertension (section 1.5).

The NHS Health Check Best Practice guidance will continue to reflect NICE recommendations.

If a person attending an NHS Health Check is under the lower height limit for the CVD risk tool should their risk score be calculated?

The risk calculator provides an estimate of CVD risk using a statistical model. The developers have advised that either the height or weight field can be left blank and the tool will make an estimate of the overall score without an accurate BMI value. However, it is important to recognise that there may be a greater margin of error with these results. Practitioners should share the results of each of the individual risk assessments and use these as the basis of the discussion regarding lifestyle and or clinical management.

May 2014

Should Local Authorities deliver NHS Health Checks to individual's who live outside of their geographical boundary but work or are registered to a GP within it?

The Local Authority Regulations 2013 confirm that an eligible person is a person in the “local authority's area” who is aged from 40 to 74 years. It is at the discretion of the local authorities to determine the approach to adopt in engaging this eligible population. Some approaches include targeting residents, people that work in the area and those registered with a GP in the area.  As local authorities have a legal duty to provide the NHS Health Check they are responsible for resourcing the delivery of the programme whatever the approach adopted.

What NHS health care do migrants have access to?

Under current rules anyone can register with a GP practice in England and receive free primary care consultations from doctors and nurses. However, access to NHS hospital treatment depends on the migrant's residential status. You can find more information at:

Migrant health guide

NHS Choices

Ask a question?

Was this page useful?

Ask a question

If there's something you'd like to know and you can't find it on our website please fill in the short form below and we'll get back to you. We aim to respond to questions within 5 working days.

Name:*

Job title:

Organisation:

Email:*

Telephone:

Question:*

Please tick this box if you do not want to
receive our Newsletter

* Required fields

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