NHS Health Check National
Learning Network
15th Workshop - London
28th November 2012
Welcome
Jamie Waterall
NHS Health Check programme manager
NHS Diabetes and Kidney Care
Department of Health Policy Update
Liz Woodeson
Director - Health and Wellbeing Division
Public Health Directorate
Department of Health
Update to cover
• Policy update – key developments
• National activity in 2012/13
• Other issues of importance to you:
– Funding for 2013/14
– Evidence base
– Evaluation/ dataset implementation
– Working with local authorities and LGA
Policy update (1)
•Key developments in PHE
•Department and PHE working closely together
Policy update (2)
•Public Health Outcome Framework 11/12 baseline data published
- http://transparency.dh.gov.uk/2012/11/20/phof-data-autumn-2012/
•Local authority public health functions regulations
Alcohol and dementia (1)
•Two new elements introduced in 2013: alcohol and dementia
•Dedicated workshop sessions though out the day
•Dementia awareness raising
Alcohol and dementia (2)
•Alcohol risk assessment for everyone
•Initial guidance provided
•Detailed guidance to follow
Q2 Performance Data - 2012/13
Expecting ~ 1.5 m NHS Health
Checks to be offered at this stage:
NHS Health Checks offered & received (cumulative); and take-up
Offers 2011/12
3,500,000
100% roll-out
3,000,000
90% roll-out
Received 2011/12
Offers 2012/13
2,500,000
~1,185, 000 offered to date in 12/13
~597 600 offered in Q2
Received 2012/13
2,000,000
100% roll-out of
those eligible
1,500,000
90% roll-out of
those eligible
1,000,000
51.6%
47.8%
~566, 193 taken up to date in 12/13
~282, 882 taken up in Q2
~52% take up rate in 11/12
~48% take up rate in Q2 12/13
take-up
2012/13
50.7%
500,000
48.2%
50.5%
take-up
2011/12
49.7%
0
Q1
ytd Q2
ytd Q3
ytd Q4
Funding
From 1 April 2013/14, there will be sufficient funding in local authorities'
public health ring fenced budget for full roll out of the NHS Health Check
programme, and to cover the cost of both the risk assessment and lifestyle
interventions e.g. weight management services, to support people to
manage and reduce their risk. Funding will also be included in the ring
fenced budgets to cover the addition of the new elements of on alcohol
consumption and (for 65-74 year olds only) dementia awareness raising.
Additional pressures on the NHS to cover the clinical follow up and
management elements of the programme e.g. additional testing, diagnosis
and ongoing treatment, have also been factored in the funding that will be
provided by the NHS Commissioning Board.
Good practice examples
•Liverpool PCT – have offered a check to 26% this year
•Islington PCT – achieving a 64% take up rate
•Birmingham – performing well and focusing on reducing
health inequalities
Evidence base (1)
•Existing evidence for the programme is robust
•Cochrane review
– rebuttal from Department and NHS Diabetes and
Kidney Disease
Evidence base (2)
•Two very substantial national evaluations underway
– 3-4 year projects looking at impact of programme
– will begin reporting next year
•NHS Health Check dataset
– will be collected from next year
– pilot data coming in
Comprehensive evaluation being progressed
Working with LAs and LGAs
•Working closely with LAs and LGA
•LGA here today and working in partnership with us
•PHE will work with LGA to identify any further support
needed
NHS Diabetes and Kidney Care
Jamie Waterall
NHS Health Check programme manager
NHS Diabetes and Kidney Care
New NHS Health Check Website
Arrangements for the day
• Quality Assuring the NHS Health Check
- Turner and Booker room
• Commissioning and Engagement with Local Authorities –
Learning from Worcestershire and North East Lincolnshire
- Diploma Suite
• Best Practice Guidance – the addition of alcohol and dementia to
the NHS Health Check
- Jasmine Suite
Afternoon Plenary
Jamie Waterall
NHS Health Check
NHS Diabetes and Kidney Care
Afternoon Plenary
Councillor Doreen Huddart
Local Government Association
Community Wellbeing Board
Panel – Question and Answer
•
Alison Daykin
Policy Manager, NHS Health Check programme,
Department of Health
•
Don Lavoie
Alcohol Policy Team, Department of Health
•
Jamie Waterall
NHS Health Check programme manager, NHS Diabetes and Kidney Care
•
Paul Ogden
Local Government Association
•
Councillor Doreen Huddart
Community Wellbeing Board, Local Government Association
NHS Health Check
www.dakc.nhs.uk