A community-based drop-in service for NHS health checks: evaluation of uptake

Jacob Chapman, Paula Jane Whittaker


Background: A community-based drop-in service aimed to deliver cardiovascular health checks to people living in areas of high socioeconomic deprivation.

Methods: Retrospective cohort study using data collected from 1092 cardiovascular health checks performed across a one-year time period in community venues across the city of Manchester. Participants were adults aged between 40–74 years, with no pre-existing cardiovascular disease who were registered with a primary care centre within the intervention catchment area.

Results: Of the total eligible population in Manchester across the study period 110194, it was found 7025(6.4%) had a cardiovascular health check, of these 1092(29%) were performed by the community-based service. Attendance was highest in younger females aged 40-45. Most patients were either in a managerial/professional occupation or unemployed. The higher risk population of cardiovascular disease (CVD were in highest attendance. Amongst the registered attendees, the checks discovered 129 new cases of hypertension, 64 new cases of type 2 diabetes, the vast majority of patients required an additional form of intervention, be that lifestyle or behaviour. 

Conclusions: A community-based cardiovascular check service is a viable method of delivering CD prevention intervention in areas of high socioeconomic deprivation.


Prevention Health Services; Early Medical Intervention; Secondary Prevention; Mass Screening; Cardiovascular Diseases


Bhatnagar P, Wickramasinghe K, Williams J, Rayner M, Townsend N. The epidemiology of cardiovascular disease in the UK 2014. Heart 2015;101:1182-9.

Avendano, M. Kunst AE, Huisman M, Lenthe FV, Bopp M, Regidor E et al. Socioeconomic status and ischaemic heart disease mortality in 10 western European populations during the 1990s. Heart 92, 461–467 (2006).

Artac M, Dalton AR, Majeed A, Car J, Huckvale K, Millett C. Uptake of the NHS Health Check programme in an urban setting. Fam Pract 2013;30(4):426-35.

Cook EJ, Sharp C, Randhawa G, Guppy A, Gangotra R, Cox J. Who uses NHS health checks? Investigating the impact of ethnicity and gender and method of invitation on uptake of NHS health checks. Int J Equity Health. 2016;15(1):13.

Gidlow C, Ellis N, Randall J, Cowap L, Smith G, Iqbal Z, et al. Method of invitation and geographical proximity as predictors of NHS Health Check uptake. J Public Health 2015;37(2):195-201.

Public Health England. NHS Health Check programme standards. [online] Available at: http://www.healthcheck.nhs.uk/commissioners_and_providers/delivery/quality_assurance1/ Published February 2014 [last accessed 16 January 2018]

PHE. PHE Alcohol Learning Resources: Audit-C [online]. Available at: https://www.alcohollearningcentre.org.uk/Topics/Latest/AUDIT-C/ Updated June 2017 [last accessed 16 January 2018]

Hippisley-Cox J, Coupland C, Vinogradova Y, Robson J, Minhas R, Sheikh A, Brindle P. Predicting cardiovascular risk in England and Wales: prospective derivation and validation of QRISK2. BMJ, 2008;336(7659):1475-82. doi: 10.1136/bmj.39609.449676.25.

PHE. Public Health Outcomes Framework [online]. Available at: https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/0 [last accessed 16 January 2018]

Robson J, Dostal I, Sheikh A, Eldridge S, Madurasinghe V, Griffiths C, et al. The NHS Health Check in England: an evaluation of the first 4 years. BMJ Open 2016;6(1):e008840.

Jepson R, Clegg A, Forbes C, Lewis R, Sowden A, Kleijnen J. The determinants of screening uptake and interventions for increasing uptake: a systematic review. Health Technol Assess 2000;4(14):i-vii, 1-133.

Winkler J, Bingham A, Coffey P, Handwerker WP. Women's participation in a cervical cancer screening program in northern Peru. Health Educ Res 2008;23(1):10-24.

Attwood S, Morton K, Sutton S. Exploring equity in uptake of the NHS Health Check and a nested physical activity intervention trial. J Public Health 2016;38(3):560-8.

Perry C, Thurston M, Alford S, Cushing J, Panter L. The NHS health check programme in England: a qualitative study. Health Promot Int 2016;31(1):106-15.

DOI: http://dx.doi.org/10.7227/MMJ.0036

Copyright (c) 2021 Jacob Chapman, Paula Jane Whittaker

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