BACKGROUND TO THE INITIATIVE
UK guidelines recommend that all people aged 40 or more should have a routine cardiovascular risk assessment. A ‘risk factor calculator’ is commonly used by doctors and nurses to assess the risk of you developing a cardiovascular disease such as: heart attack, angina, stroke, and peripheral vascular disease. Treatment is recommended if you have a high risk.
Who should have their NHS Health Check?
All adults aged between 40 and 74 who do not have established cardiovascular disease.
What does the NHS Health Check involve?
We measure blood pressure, height and weight and ask about any diseases that run in the family. We take your medical histroy and ask about smoking, alcoholand exercise. We will also check your sugar and cholesterol levels. Putting all this together we use a computer programme to work out your level of risk of heart disease. We can also give individual advice on how to stay healthy and keep your risks down.
If medication for blood pressure or cholesterol etc is required we can organise this with you.
What does the computer score mean?
You are given a score as a % chance.
So, for example, if your score is 30% this means that you have a 30% chance of developing a cardiovascular disease within the next 10 years. This is the same as saying a 30 in 100 chance (or a 3 in 10 chance). In other words, in this example, 3 in 10 people with the same risk factors that you have will develop a cardiovascular disease within the next 10 years. Note: the score cannot say if you will be one of the three. It cannot predict what will happen to each individual person. It just gives you the odds.
You are said to have a:
- High risk – if your score is 20% or more. (That is, a 2 in 10 chance or more of developing a cardiovascular disease within the next 10 years.)
- Moderate risk – if your score is 10 – 20% (between 1 in 10 and 2 in 10 chance).
- Low risk – if your score is less than 10% (less than a 1 in 10 chance).
How will we contact you?
Our computer system will flag up reminders.
If you have repeat prescriptions, you may get a note and a blood test form with your prescription, asking you to make an appointment for your check-up.
If you ring for an appointment you may be asked if you would mind having your blood tests done etc. Also, if you are in with your Doctor, or Sister Brayzier, and time allows, we may carry out part of the assessment there and then, plus give you your blood forms.
Dr. J. Cranston