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