NHS Health Check eBulletin

Revised best practice guidance published

An updated version of the NHS Health Check best practice guidance is now available on the NHS Health Check website. The guidance supports local authorities and providers to deliver the NHS Health Check programme. It includes legal requirements and best practice on delivering the risk assessment, awareness and management elements of the programme. 

Key changes from the previous best practice guidance edition include:

  • a new programme pathway diagram to accompany the existing clinical flow chart
  • clarification of local authority’s legal duty to deliver the programme
  • clarification of NHS England’s legal duty to deliver the programme in prisons and detained settings
  • removing the recommendation to use Framingham as a risk score calculator, in line with NICE guidance
  • recommending that a pulse rythmn check is completed as part of the blood pressure check, in line with NICE guidance
  • new information on the use of point of care testing
  • recommending that statins are considered for people with a cardiovascular disease risk greater than 10%, in line with NICE guidance
  • new information on communication and marketing
  • new information on training, learning and development
  • new information on national programme governance
  • new information on information governance and data flow.


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