Slides from NHC - NHS HC Training September 2023

Description

NHS Health Check Training

Delivered by Michaela Nuttall RGN MSc

Former Clinical Advisor Personalised Prevention OHID

Chair Health Care Committee HEART UK

This is a Face to Face event, this bespoke NHS Health Check Training is a great opportunity to update your knowledge nationally and locally, whilst networking with colleagues from across Newham.

This event is for Newham only, please visit the Smart Health Solutions website for more information on the NHS Health Check training.

This course will provide the learner with updated knowledge and understanding to support them in carrying out an NHS Health Check assessment and to inform the client of the significance of their results and their risk, providing brief advice if required.

It provides underpinning knowledge for the core competences and technical competences described in the NHS Health Check competence framework produced by Public Health England.

Learning Outcomes

State why NHS Health Checks are important.
Identify non-modifiable risk factors for cardiovascular disease.
Identify modifiable risk factors for cardiovascular disease.
Know the NHS Health Check filters
State how an NHS Health Check should be conducted.
Identify how an NHS Health Check can assess and interpret the risk of cardiovascular disease.
State how the risk of cardiovascular disease and opportunities for reducing this risk may best be communicated

Who should attend

Anyone involved in the delivery of health checks including:

Practice Nurses
Nurse Practitioners
GPs
Health Care Assistants
Care co-ordinators
Social Prescribers
Administration
Practice Staff
Pharmacists
Allied Healthcare Professionals
Health Trainers & Champions
Healthy Lifestyle Professionals

Certificates of participation are available to all attendees on submission of evaluation and handouts for each course are available for future reference via the MedAll platform.

We are a registered Centre for the Royal Society of Public Health (RSPH), and HEART UK supports our cardiovascular training. The NHS Health Check Competency Framework underpins our training.

We are proud of our strong heritage in supporting the NHS Health Check Programme, especially for training we have been providing since 2008 and that we have won all training tenders we have bid for.

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Public Health Services in Newham GP Practices Samira Naheed RimiServices are: • NHS Health Checks (NHSHC) • Sexual and Reproductive Health ❖ Screening and management of chlamydia for patients aged 15-24 ❖ Long-Acting Reversible Contraception (LARC) • BBV ScreeningFacts about NHSHC 2022-23: In 2022-23 financial year, there were 14,987 (145.6%) NHSHC completed in Newham compared to 13,883 (121.4%) in 2021-22. Performance of NHSHC according to uptake rate The Chart below shows post NHSHC diagnosis in (Year to Date) 2022-23: Post NHSHC Diagnosis (2022-23) 500 482 400 350 270 250 197 197 200 100 40 5 50 0Areas that need improvement (NHS HC) according to KPI indicator Description Min Acceptable Threshold By the End of Q4/2022-23 All patients have Q-riskscore recorded 98% 97.6% All patients have Q Diabetes score recorded 98% 97% Audit-C completed 95% 75.40% GAD-7 completed 66% 50.80% PHQ_9 completed 95% 91.70% Live Fit Newham- physical activity programme referral (proportionfor CVD risk and pre-diabetes) 20% 8.50% Very Brief advice (VBA)for all smokers 87% 87% SS referral for all smokerwho wants to quit 85% 14.10% IAPT referralif PHQ>10 and/or GAD>9 17% 20.5%Changes in NHSHC from 1 of October 2023 st • End of NHSHC Point of Care (POC) Contract from 30 of September 2023- Practices do not need to submit POCT to NHC anymore from 1 of October. • Payment is capped at 100% for NHS Health Checks. Practices may be asked to stop delivery of NHS Health Check once they have completed 100% of their yearly uptake target.Chlamydia screening • In 2022-23 there were 1,413 Chlamydia test done at borough level. The uptake rate was significantly poor last year. We need to increase the opportunistic screening. • Eligible patients should be offered Chlamydia screening at least annually or at change of partner, with tests to be requested online via T-Quest or future equivalent software. Long-Acting Reversible Contraception (LARC) • Between 2018-20 LARC made up for 21% of all contraception. Since 2020-23 LARC activity has dropped and LARC comprised 19% of contraception. • There are some opportunities of training to become a LARC fitter. GPs, Practice Nurses, Advanced Practice Nurses and Physician Associates are qualified for the training.Blood-Borne Viruses (BBV) • Consent-based opt-out Blood-Borne Viruses (BBV) screening will be introduced from October 2023. Opt-out BBV screening replacing and enhance the existing HIV screening programme. • The aim of BBV screening in General Practice is to reduce Newham’s burden of undetected infections from HIV, Syphilis, Hepatitis B (HBV) and Hepatitis C (HCV). • BBV screening should be offered to all newly registered patients aged 16 and over as part of new patient check – as well as opportunistically to all patients that are deemed ‘high risk’ or ‘vulnerable’.