NHS Health Checks - Supplementary Service

• The NHS Health Check is a national programme offering a health check-up for adults in England aged 40 to 74 every five years. One of the largest prevention programmes of its type in the world, the programme is designed to help prevent and detect early signs of heart disease, kidney disease, Type 2 diabetes and dementia. • In Oxfordshire, and since 2013, the Council have adopted a service model where GP Practices are the only service provider. As of 1st April 2021, this was commissioned with 68 GP Practices via a Call-off Contract (Lot 1 - NHS Health Checks) under the Dynamic Approved Provider List Agreement (DAPL) for the Provision of Community Primary Care Services. Approval has been granted by Public Health DLT for a new DAPL Agreement Framework for a period of four years, with new Call-off Contracts being issued to begin on 1st April 2022. To date, 65 out of these 68 GP Practices have applied to deliver the NHS Health Check Programme until 31st March 2026. • The effect of COVID-19 on Primary Care settings ability to deliver the NHS Health Check Programme, when compared to pre-pandemic, has been extremely challenging as they have rightly had to mobilise and respond to the pandemic as it evolved, including leading on mass vaccination. At its peaks, NHS England and Improvement have issued Community Service Prioritisation Framework Guidance to Primary Care requesting it to pause provision of NHS Health Checks. • When Public Health England (PHE) updated its NHS Health Check Restart Preparation guidance to Local Authorities in April 2021, they recommended applying the principle of proportionate universalism, delivering Checks in a way that prioritised resources and effort by inviting those who are most likely to be at higher risk of CVD. The guidance also stated that where Primary Care is the dominant Service Provider of NHS Health Checks, as it is in Oxfordshire, the Local Authority should now consider alternative models of delivery when making local decisions on the future provision of the service. • The aim of this contract is to develop and implement a new Supplementary NHS Health Check Service in Oxfordshire that will begin to restore provision of NHS Health Checks using a proportionate universalism approach.