Health Checks Plus Dr Melanie Forrest Dr Melanie Forrest Halton and - - PowerPoint PPT Presentation

Health Checks Plus

Dr Melanie Forrest Dr Melanie Forrest

Halton and St Helens PCT 2009

• National Health Check Programme Introduced
• Deaths attributed to cardiovascular disease

29.5%

• Deaths attributed to cancer 29.9%
• Impact on health from alcohol
• Impact on health from depression
• Other health conditions ‐

COPD

What we added

• AUDIT C
• Depression screening
• Red Flag questions
• Screening uptake
• Housing issues
• Diet and exercise levels
• Over the counter medications

Outcomes

• 51 out of 54 practices
• Double the baseline
• 725 at increased CVD risk
• 467 new hypertensives
• 68 diabetics plus 29 IGR
• 53 diagnosed with CKD stage 3 or greater
• 21 new cases of depression
• 19 diagnosed with COPD
• 14 new cancer cases

Other outcomes

• Other diagnoses such as rheumatoid arthritis,

BPH, peptic ulcer disease

• Changed perception of primary care
• Baseline data
• Changing attitudes within primary care
• signposting

Learning points

• Keeping momentum
• Quality care costs more than £18
• Risk stratification – no data could be the

highest risk

• Age limits – cost and benefit
• Enthusiastic users of the NHS
• COPD and Dementia