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NHS Health Checks scheme hailed as ‘remarkable success’


Dear All, A more detailed analysis. They claim all the diagnoses made amongst attendees are “new” and due to the program. But thats not true, new diagnoses were also being picked up amongst those who didn’t attend a NHS Health check but who attended their GP for other reasons – i.e. opportunistic pickup. for example they claim; 1934 new diabetics picked up in those that attended checks (rate of 0.9%) but the rate picked up opportunistically amongst non attenders was 0.4%. So the program only actually resulted in approximately 900 patients being diagnosed (1934 X (0.9 - 0.4)). Similar figures for kidney disease; 807 (0.4%) new but 2310 opportunistically (rate 0.2%). So 400 cases CKD that were new diagnoses attributable to the program, not 807. If you subtract those that were picked up opportunistically the programs pickup rate is virtually no different from normal GP pickup rates. Assume it costs £1 to invite each patient and a very modest £25 for each NHS Check then the program has cost at least £7,029,000. They can reasonably claim to have picked up 6,526 new diagnoses of CKD, diabetes and blood pressure. That’s approx. £1,076 per new diagnosis. And this is before we factor in the cost of administering the service and the consequential harms that we know can arise from increasing health anxiety etc. “The fundamental flaw in the NHS Health Check program is that it is indiscriminate, it targets everyone, no matter how healthy we already know they are" Regards Paul C

Posted date

14 Jan 2016

Posted time