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Independents' Day

Local council strips GP practices of NHS Health Checks

Exclusive GP practices are being told they will no longer be paid to run the NHS Health Checks scheme from April, as local councillors try to balance the books under the Government’s swinging cuts to public health services.

GPs in one area have been told their contracts to deliver the NHS Health Checks will be terminated at the end of March as a result of cutbacks to the public health budget.

York City Council said it would continue to offer ‘some elements’ of the Health Checks programme, which forms a key plank of the Government’s drive to prevent ill health and curb spiralling NHS costs that result from lifestyle issues such as poor diet, obesity and smoking.

But local GP leaders said the move would be a ‘disaster’ both for the programme and for practices that had invested time and effort to boost uptake.

Pulse already revealed that York City was one of a number of councils that were cutting smoking cessations services.

In a letter to practices seen by Pulse, public health officials in York City Council said ‘the intention is to provide some elements of stop smoking provision and NHS Health Checks through the establishment of an Integrated Wellness Service’ and that ‘because of financial constraints, this will be a targeted service aimed specifically at tackling health inequalities in our deprived and marginalised communities’.

But Dr John Crompton, chair of North Yorkshire LMC, told Pulse the move would be ‘a disaster’ for practices that had invested extra resources in boosting uptake of the NHS Health Checks – and that it would potentially increase health inequalities in the region as the scheme is set to continue across the rest of North Yorkshire.

Dr Crompton said: ‘The NHS Health Checks is a national programme about health promotion and prevention and to suddenly stop offering those locally in practices would be a disaster.’

He added: ‘Practices have invested a lot of time and effort in this - you invest in staff, you have systems - and as well as doing the invites we have been doing [the checks] opportunistically to really get best coverage – and we’ve found locally we’re picking up a lot of early diabetes up and managing it – and now if that’s lost potentially that population in York is going to have worse outcomes if we’re not able to do that proactive work.’

Dr Crompton said the council had informed practices they may recommission the Health Checks ‘in some kind of watered down form, offering them in sports centres and things like that’.

However, he said ‘they won’t get the take up and those they do pick up will be passed to GP practices to do all the work anyway, so it will just mean that primary care will be left to sort it out under GMS’.

The Council said in a statement: ‘York City Council inherited a number of contracts from the former North Yorkshire and York Primary Care Trust (PCT) when the responsibility for public health transferred to local government in April 2013, including NHS Health Check.

‘It was always the intention to review these services. The council has been consulting on the development of a new integrated wellbeing service for the city’s residents. It is expected NHS Health Check, which is a mandated service, will continue to be available as part of the new wellbeing service which is planned to launch in spring 2016.’

Jamie Waterall, Public Health England’s national lead for the NHS Health Check programme, said: ’The reduced public health funding to local authorities is challenging, but Public Health England remains committed to supporting local teams in delivering the NHS Health Check within these efficiencies.

’Local authorities have a legal requirement to ensure that 100% of their eligible population are invited every five years and most areas are on track to achieve this.’

Readers' comments (18)

  • There seems to be no unified vision. Are they increasing funding for general practice or not?

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  • Oh please, please take NHS healthchecks away from us!
    Biggest waste of time ever. We do opportunistic screening anyway in a much more targeted way, and I have no problem with that - the obese person walking into my room gets an HbA1c and cholesterol check and BP check anyway. But please stop us having to do 5 yearly exhaustive discussions with well 60 year olds who are super fit, have great diets and have already got great lifestyles but still take up the invitations.

    Let us get on with some real work!

    BUT and it's a big but, we still need the funding to get the HCAs doing useful things for people. If all the funding goes with it then it's another nail in the coffin of general practice.

    NHS health checks for low risk people were easy money but not what the NHS should be prioritising spending money on.

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  • Left hand, right hand......

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  • While such changes are often destabilising, it has to be noted that NHS health checks are the greatest pile of ordure ever conceived by the insect brains of our overlords.

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  • You take on these hare-brained schemes, you expect them to disappear in a year or two when the dreamers move on to the next great idea. Nobody should be surprised this is now unsupported work.

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  • Took Early Retirement

    Spot on 6.16

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  • Vinci Ho

    As far as the protagonists of these checks are concerned , reality bites , hence , get real !
    As far as practices are concerned , say No No No to any possible unfunded watered down version.....

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  • Vinci is right
    We should start cutting and sadly there will be losers, mainly patients.
    Where we did our best we will now become less productive.
    Why go in on Sunday to check patients for free if the powers don't care for this personal care? They cut but have their jollies

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  • To Anonymous | GP Partner29 Jan 2016 5:38pm and John Glasspool
    Regarding NHS health checks -
    You are both bang on. In the words of Cath Tate's Gran "What a load of old sh*t!"
    I would love to say “Good riddance” to this Government sponsored pseudo concern.
    Listen you fat smokers! The government doesn't really care for you. It would like you to die a sudden death, preferably before you claim your pension.
    Sorry Jezza but you did say you wanted candour. What do you mean I can't say that? Spin what?

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  • Health checks achieve fu@k all.

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  • This is a good lesson in why we should stop jumping at every short-term "incentive" scheme. You just end up saddled with costs when commissioners pull the rug. When you really analyze these schemes the profit margins are usually small, do not account for staff sickness, redundancy etc and so do not justify the risk. Just stick to your core work and show the same inflexibility as NHSE does when it comes to so called negotiation.

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  • Goodbye to the Health Checks - I for one will not miss them - a total waste of time.

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  • My only complaint is that this is one of the few income streams where the cost actually gets covered by the income, and I can guarantee to get out what I put in.

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  • If certain paid aspects of the job are being taken away, why is there not a movement to go back to the basics and just do the work which is paid for in the contract.
    Things which are not funded, just do not do and refer them to the hospital or others. Perhaps someone in the BMA could help get a list of things which are paid for those which are not and also suggest how to deal and pass onto someone else the unpaid stuff gps are faced with day in day out.
    Its all about money so we should tighten up the services we are prepared to do.
    BMA should be doing all this and also costing how much it takes for gps to do all the $&@÷#&/ such as revalidation, inspections etc....
    these latter charges need to be calculated so they can be used in contract negociations. There seems to be pretty much no information about all the costs for this extra work gps have to do which is shocking as everything has a price and if we do not know it, it makes our hand weaker.

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  • The big question has to be- is it making a difference and is it cost effective. We quite enjoy doing them/patients quite enjoy them and we earn money in the Practice. However they aren't good enough reasons to do them. Where is the evidence? Nurse Manager in General Practice

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  • The BMA do something, Ha, Ha.!!
    Do you any profession any where in the world where you work for 80 hours with 3-4 hours sleep?
    I,like Dr Nabi and thousands of others, have done 700 such weekends.
    I wondered one Monday evening after 80 hours with 2 hours sleep if my Union, the BMA, actually cared about the welfare of its members.
    There are A+E consultants still doing these 80 hour 'on-call' shifts today.
    It would take the BMA just to define safety n hours worked and patients seen to sort out our workloads.
    They did not do it then.
    They will not do anything now.
    Sure, they talk nonstop of how bad things are, how unsafe practice is. Chaand apparently made a wonderful speech.
    I like Chaand, but talk is cheap. If general practice is unsafe in numbers seen and hours worked, what is safe, Chaand. Please define.

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  • Seriously, the cracks were evident years ago. Today the GP 's are still staring at the cash strapped reality and an increasing population saying 'Really interesting!' is the JD 's who are acting upon it but have no funding from the BMA! Like Pigeons being sent to the CAT...

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  • You need to crash a car , in order to have a wreckage to either (A)sell the parts or (B)have it scrapped...that is JH's mission ...and he is the Best man for the job!

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