NHS Health Checks, a cardiovascular risk assessment programme for all adults aged 40–74 years in England, was introduced in 2009. The programme aims to both decrease the incidence of cardiovascular disease (CVD), and reduce socio-economic and ethnic inequalities in cardiovascular health. The programme involves systematic screening, measurement of CVD risk factors, the generation of global risk estimates, risk communication and lifestyle counselling. In a study published in the Journal of Public Health, Andrew Dalton and colleagues examine the uptake of the programme in Ealing, London. They found that uptake of the programme and subsequent prescribing of statins in high risk patients was lower than predicted in the first year of the NHS Health Checks programme. Efforts to increase the uptake of the programme, particularly amongst patients more likely to have undiagnosed CVD or uncontrolled CVD risk factors, is needed.
As part of a session on primary care data in the Health Informatics module on the Imperial Master of Public Health Programme, I asked students to work in two groups to present arguments for and against the NHS Care.Data programme. Care.Data is an NHS programme that will extract data from the medical records held by general practitioners (GPs) in England. The Care.Data programme takes advantage of the very high level of use of electronic medical records by GPs in England. After extraction, data will be uploaded to the NHS Health and Social Care Information Centre (HSCIC). The data will then be used for functions such as health care planning, monitoring disease patterns and research. The programme has been controversial with proponents arguing that the programme will bring many benefits for the NHS and the population of England; and opponents arguing it is a major breach of privacy. You can view the two presentations to help inform you further about these arguments: Arguments fo...
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