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  • Shropshire Public Health Standard Operating Procedure NHS Health Check

    April 2016

    This document provides a framework for the delivery of the NHS Health Check programme in Shropshire County. Guidance relating to referrals and treatment are based on NICE guidance. Any changes will need to be agreed with Help2Change . All providers engaged in the delivery of the NHS Health Check programme in Shropshire County will require staff to operate to this procedure. Any changes to this procedure must be agreed with Help2Change. For all queries relating to this operating procedure please contact Help2Change on 01743 454910.

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    Table of Contents Shropshire Public Health NHS Health Check Operating Framework ..................................... 2

    NHS Health Checks: .......................................................................................................... 2

    Step 1:- INVITATION AND OFFER: identifying the eligible population and offering an NHS

    Health Check ........................................................................................................................ 5

    Step 2:-INVITATION AND OFFER: consistent approach to non-responders and those who

    do not attend their risk assessment ....................................................................................... 5

    Step 3:-THE RISK ASSESSMENT: ensuring a complete health check for those who accept

    the offer is undertaken and recorded. .................................................................................... 6

    Step 4:- THE RISK ASSESSMENT: Equipment use ............................................................. 6

    Step 5:-THE RISK ASSESSMENT: quality control for point of care testing ........................... 6

    IQC and EQA scheme ....................................................................................................... 7

    Step 6:-COMMUNICATION OF RESULTS: ensuring results are communicated effectively

    and recorded ..................................................................................................................... 8

    Step 7:-RISK MANAGEMENT: high quality and timely lifestyle advice given to all ................ 8

    Step 8:-RISK MANAGEMENT: additional testing and clinical follow up ................................. 9

    Step 9:-RISK MANAGEMENT: appropriate follow up for all . .............................................. 10

    Step 10:-THROUGHOUT THE PATHWAY: confidential and timely transfer of patient

    identifiable data Read code audit, or if not possible, notes audit ......................................... 11

    Appendix 1 Alere Equipment and systems. ......................................................................... 12

    Briefing Document for the Afinion AS100 Analyzer ...................................................... 12

    Quality Standards - The International Quality Reference Standards for Cholesterol &

    HbA1c. ............................................................................................................................ 13

    Alere Image Information Management and Governance Engine ................................... 13

    References ...................................................................................................................... 13

    Afinion Lipid and HbA1c Controls .................................................................................... 13

    Appendix 2:-Order Form ..................................................................................................... 14

    Appendix 3:-Health Check Leaflets ..................................................................................... 15

    Appendix 4:-Service User Satisfaction Questionnaire ......................................................... 16

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    Shropshire Public Health NHS Health Check Operating Framework

    This framework is intended to provide guidance and consistency in the delivery of the NHS Health Check programme in Shropshire County. NHS Health Checks is a national programme, delivered locally in a way that best suits the needs of local populations. It is important, that the tests and measurements are consistent to help ensure the quality and effectiveness of the programme. Ensuring those offered a NHS Health Check receive a complete and accurate Health Check is key to optimising the clinical and cost effectiveness of the programme. This is especially important for populations with the greatest health needs and will impact on the programmes abilities to narrow health inequalities. The aim is that every person eligible for an NHS Health Check is offered a good quality, complete risk assessment, guidance and follow-up, irrespective of where they live, or the provider commissioned to deliver the service.

    NHS Health Checks: In delivering the programme providers will:

    work to achieve a high standard of care, review and risk assess local pathways against national guidance and standards

    ensure that all staff delivering Health Checks are competent, comply with the NHS Health

    Check Competence Standards and staff should have completed the online NHS Health

    Checks Training module and use the learner handbook. The link to the module and manual

    respectively: (http://www.e-lfh.org.uk/programmes/wm-nhs-health-check/how-to-access/ ) and

    http://www.healthcheck.nhs.uk/commissioners_and_providers/delivery/training_and_develop

    ment_tools/. A copy of certification should be stored and if possible logged within the IMAGE

    software. Note the training module link will be updated during 2016

    utilise the NHS Health Check competence learner and assessor workbooks to support,

    assess and evidence staff competence against the national occupational standards (NOS) as

    set out in the NHS Health Check competence framework

    work with commissioners to develop, implement and maintain appropriate risk reduction measures

    enable provision of agreed performance data and evidence of quality to the commissioner at agreed intervals

    review implementation routinely through audit and ensure appropriately trained staff and supervisor for delivery of the programme. To audit the service, the practice should seek the views of patients who attend for an NHS Health Check; asking their experience of and satisfaction with the NHS Health Check, together with suggestions for service improvement. Service user satisfaction questionnaires are available in Appendix 4, and are available for patients to complete at http://www.healthyshropshire.co.uk/feedback

    ensure appropriate links are made with internal governance arrangements, such as risk registers, and

    ensure the Equality Act 2010 requirements are adhered to by ensuring reasonable

    http://www.e-lfh.org.uk/programmes/wm-nhs-health-check/how-to-access/http://www.healthcheck.nhs.uk/commissioners_and_providers/delivery/training_and_development_tools/http://www.healthcheck.nhs.uk/commissioners_and_providers/delivery/training_and_development_tools/http://www.healthyshropshire.co.uk/feedback

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    adjustments are made for disabled people, those with a sight or hearing impairment, learning disability and whose first language is not English. Community venues need to be fit for purpose and have the equipment needed to conduct an NHS Health Check.

    Two measures are stated indicators for health improvement within the public health outcomes framework for England 2013-16.

    100% of the eligible population invited every five years

    >50% take up, aspiring to >75% take up

    There should be year on year improvement in the take up of the health check. Please see attached Public Health mandated functions.

    PH mandated functions_2013 regulations.pdf

    This framework is intended to provide guidance and consistency in the following elements of the NHS Health Check Stages of the NHS Health Check 1 Identifying the eligible population

    and offering an NHS Health Check

    Invitation and offer

    2 Consistent approach to non-responders and those who do not attend their risk assessment appointment

    Invitation and offer

    3 Ensuring a complete health check for those who accept the offer is undertaken and recorded

    The risk assessment

    4 Equipment use The risk assessment 5 Quality control for point of care

    testing The risk assessment

    6 Ensuring results are communicated effectively and recorded

    Communication of results

    7 High quality and timely lifestyle advice given to all

    Risk management

    8 Additional testing and clinical follow up

    Risk management

    9 Appropriate follow up for all if CVD risk assessed as 20% and greater

    Risk management

    10 Confidential and timely transfer of patient identifiable data

    Throughout the pathway

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    The diagram below highlights the key elements of the NHS Health Check

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    Step 1: INVITATION AND OFFER: identifying the eligible population and

    offering an NHS Health Check

    As outlined in the 2013 regulations, each local authority is to ensure systems are in place to consistently and accurately identify the population, establish eligibility and offer NHS Health Checks to all eligible persons in its area in a five-year period. The Informatica Health Check software is designed to ensure patients eligible for their Health Check are invited at appropriate timescales within the stated timeframe. The software enables eligible populations to be categorised by current degrees of risk and invite due dates, ensuring patients are:

    Age

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