An evaluation of modifications to NHS Health Checks: A study protocol

Area of Science:

• Public Health
• Health Services Research
• Cardiovascular Disease Prevention

Background:

• Cardiovascular disease (CVD) is a leading global cause of death, accounting for a quarter of UK deaths.
• The UK National Health Service (NHS) introduced the NHS Health Check (NHSHC) programme in 2009 to assess CVD risk factors in adults aged 40-74.
• Challenges in NHSHC uptake have led to local practice modifications, necessitating evaluation.

Purpose of the Study:

• To evaluate the impact of NHSHC modifications on attendance and health outcomes.
• To assess changes in NHSHC delivery methods and invitation processes.
• To provide evidence for improving national NHSHC commissioning and delivery.

Main Methods:

• Mixed-methods research framework including quantitative analysis of NHSHC records.
• Qualitative data collection through focus groups and interviews with staff and clients.
• Health economic evaluation of resources and costs.

Main Results:

• The study protocol outlines a comprehensive evaluation of modified NHSHC delivery and invitation strategies.
• It will analyze quantitative attendance and outcome data alongside qualitative insights from stakeholders.
• A health economic analysis will assess the cost-effectiveness of the modifications.

Conclusions:

• The research is expected to yield valuable findings for improving NHSHC programme effectiveness nationally.
• Evidence generated will inform public health strategies for CVD prevention.
• The novel and broad approach will offer insights for commissioning and delivering health checks.