❤️ NHS Health Check (NHS HC)

💷 How much is this worth to me?

This template supports delivery of the NHS Health Check Programme, a nationally commissioned service for adults aged 40–74 without pre-existing cardiovascular disease.

Accurate and complete use ensures contract compliance, safe cardiovascular risk management, and optimal payment.

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📊 High-level overview of the specification requirements

To complete a valid NHS Health Check, you must:

• Record:

  • Demographics and lifestyle data

  • Alcohol and smoking status

  • BMI, blood pressure, and cholesterol

• Calculate:

  • QRISK3 score

• Provide:

  • Brief lifestyle advice

  • Referrals if appropriate

This template guides you step by step.

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📌 What do you need to know?

📮 Invite and Admin

• Tick to indicate invitation sent (SMS, letter, phone)

• Use this to populate invite/uptake audits

🚬 Smoking

• Status (never, ex, current)

• Option to record smoking cessation advice

• Note: e-cigarette use alone does not count for QOF smoking indicators

🍷 Alcohol

• Document if the patient is an ex/non-drinker or current drinker

• Record units/day and week

• AUDIT-C screening (3 questions)

• If score ≥5 or weekly alcohol >14 units: complete full AUDIT questionnaire

🧪 Clinical Measures (in following sections of template)

• Height, weight, BMI

• Blood pressure

• Lipid panel (total cholesterol, HDL)

• HbA1c (if appropriate)

• QRISK3 calculator launch and score recording

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💡 Hints and Tips

• AUDIT-C questions are mandatory for drinkers — continue to full AUDIT if:

  • Score is 5 or more

  • Units exceed 14/week

• Use embedded links to OneCalculator for QRISK3 and lifestyle calculators

• Ensure QOF-compliant smoking coding even if e-cigarette use is noted

• Can be used in stages (e.g. HCA does initial data, clinician completes)

• Best practice includes a summary and lifestyle plan at the end