NHS Health Check search rules
!!This is an internal article to support queries regarding NHS Health Check eligibility!!
The NHS Health Check eligibility searches found in 034C Eligible for NHS Health Check are based on the latest Health Check programme guidance which is a written document rather than business rules. An old set of business rules exist which reference Read codes which helped to define some of the logic.
Eligibility is based on age at event (40-74 years inclusive), with a number of exclusions based on coded conditions. These can be found in PA-300b) Excluded cardiovascular conditions.
Interpreting the rules
The tables below describes what each rule does as a refset ID code alone will not be very useful. The Primary Care Reference Set Portal can be used to identify whether individual codes are (or
Rule | Refset ID | Refset Name | Refset Description |
| 1 | 999006611000230105 | HYP_COD | Unresolved hypertension (QOF register) |
2 | 999000771000230107 | CHD_COD | Coronary heart disease (QOF register) |
3 | 999005531000230105 999005291000230109 | STRK_COD TIA_COD | Stroke or TIA (QOF register) |
4 | 999004691000230108 | DM_COD | Unresolved diabetes (QOF register) |
| 5 | 999006811000230109 | FHYP_COD | Familial hypercholesterolaemia |
6 | 999005931000230101 | PAD_COD | Peripheral Arterial Disease (QOF register) |
7 | 999021491000230101 | CKDATRISK2_COD | Unresolved CKD (stage 3/4/5) or renal failure (QOF register) |
8 | 999010611000230105 | AFIB_COD | Unresolved atrial fibrillation (QOF register) |
9 | 999013691000230108 | HF_COD | Unresolved heart failure (QOF register) |
10 | 12464001000001103 | STAT_COD | Issue of a statin medication in the last 6 months |
11 | 175571000001107 115131000001105 635281000001109 175591000001106 115171000001107 | BEMPACID_COD EZETIMIBE_COD ICOSAETHYL_COD INCLISIRAN_COD PCSK9I_COD | Issue of a second line lipid lowering drug in the last 6 months |
12 | 999028451000230102 | QRISK2AND3SCORE_COD | Latest QRISK 2 or 3 score in the last 10 years is at least 20% |
In addition to the conditions listed above, patients on the Palliative care register are excluded in PA-301) Eligible for a NHS health check to avoid some inappropriate invitations.
Some users may question why patients with some types of hyperlipidaemia or hypercholesterolaemia are included in the eligible search. This is due to the guidance documents only listing Familial hypercholesterolaemia as an exclusion. PCIT has previously reached out to the national programme team to confirm this.
Such patients with a history of hyperlipidaemia appearing in the eligible search will NOT be on a lipid lowering drug, so an NHS Health Check may be an ideal opportunity to check cholesterol level if there is no mechanism in the Practice to recall these patients.
Version History
09/10/2024 Created WB
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