Observational study of a locally enhanced service to increase uptake of primary care vascular checks, known as NHS Health Checks

  • Coghill, Nikki (PI)
  • Feder, Gene (CoI)
  • Horwood, Jeremy (CoI)
  • Montgomery, Alan A (CoI)

Project: Central government, health and local authorities

Description

Background
The National Health Checks programme aims to reduce cardiovascular deaths, disability and health inequalities in England. We assessed equity of uptake and outcomes from Checks in general-practices in Bristol, UK.

Methods
Cross-sectional study using patient-level, general-practice data (n=38). Descriptive statistics characterised populations, logistical regression tested associations between invitation or attendance and population characteristics.


Key findings

Results
Between June 2010-October 2014, 31,881 patients were invited and 13,733 Checks completed. Completions consisted 47% of patients invited from the three least and 39% from the two most-deprived IMD quintiles. Proportions of completions to invites in white ethnicity patients were 62% but 31% from all other ethnic groups. Men were less likely attenders than women (OR 0.7, CI, 0.67-0.80), as were patients 70years (OR 2.5 CI, 1.89-3.39).

Compared to patients with low CVD-risk, high-risk patients were most likely prescribed cardiovascular drugs (OR 6.2, CI, 4.51-8.40). Controlling for: CVD-risk, age, IMD, ethnicity, females were most likely prescribed cardiovascular drugs (OR 0.85, CI 0.74-0.97), as were high-risk patients.

equity in uptake

Conclusions
We found no evidence of inequity in attendance regarding socio-economic status. Being age >50 and female were significant predictors of attendance. Targeting approaches at men, younger patients and ethnic minorities will aid
Short title£35600
StatusFinished
Effective start/end date14/02/1128/02/17

Keywords

  • cardiovascular disease
  • primary care
  • public health
  • evidecne based practice