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Health Checks Eligibility Criteria

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The rules around eligibility for Health ChecksĀ are listed below.

Eligible Patients

Eligible patients are those who meet the following rules:-

  • The patient is currently a registered patient of the practice

  • The patient is aged between 40 and 75 before the end of the Health Checks year

    • NB while patients who are 75 during the Health Checks year will not be listed for invites, if a Health Check is carried out before the patient is 75, they will be counted as eligible.

  • The patient does NOT have any one of the following sets of codes on their clinical record:

    • Coronary heart disease

    • Stroke

    • TIA

    • Heart failure

    • Familial Hypercholesterolaemia

    • Peripheral arterial disease

    • Chronic kidney disease (CKD) stage 3, 4 or 5

    • Palliative care or terminal illness

    • A code indicating that an NHS Health Check is not appropriate

    • A code for cardiovascular disease (CVD) risk with a value (>=20) indicating that the patient is at high risk of coronary artery disease OR a code indicating that the patient is on the CVD high risk register

    • A diabetes code without a subsequent diabetes resolved code

    • A hypertension code without a subsequent resolved code

    • An atrial fibrillation (AF) code without a subsequent resolved code

    • A statin code in the 6 months before the Health Check or the 6 months before the start of the QOF year

    • A code indicating that they have had a Health Check in the four years before the start of the current QOF year.

The Possible Incomplete Health Check Cohort

The possible cohort shows patients who meet the following criteria:-

  • No Health Check recorded this year

    • Eligible for a Health Check

They have a Health Check invitation recorded and a Cholesterol ratio recorded on the same day or after the date if the invitation or they have a cholesterol in the last 6 months, and a BMI in the last 6 months, and Smoking status recorded in the last 6 months and Alcohol consumption recorded in the last 6 months.

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