Health Checks Eligibility Criteria

The rules around eligibility for Health Checks 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

  • Note, 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.

Note, if a patient is on a Ace Inhibitor they will still be eligible for a Health Check unless they have a diagnosis, hypertension for example.

The Possible Incomplete Health Check Cohort (Bury ONLY)

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.