Cardiovascular Anticipatory Care Screening
Since 2006, NHS Boards have been delivering inequalities targeted cardiovascular health screenings through the Keep Well and Well North anticipatory care programs managed by NHS Health Scotland. These programs aim to reduce cardiovascular mortality through early detection of risk factors and other health problems. Health checks are targeted on the most deprived communities in Scotland which generally have the highest rates of mortality and hospital admissions.
Deprived communities are generally identified by their postcode or geographical area. More recently, screenings have also been extended to other groups that experience higher levels of deprivation, e.g. traveller communities.
Although there is some outreach work to engage with deprived communities most of the health screenings take place in a general practice setting. Health screenings are usually carried out by a general practitioner or nurse.
At the health screening, a cardiovascular risk assessment is performed and a standard dataset collected. The dataset includes data on height, weight, blood pressure, cholesterol level, smoking status and alcohol consumption. Information on social factors that might affect access to health services, e.g. ethnicity, language and literacy are also collected. Individuals then receive sign-posting or onward referral to other services as appropriate.
An assessment of the number of inequalities targeted cardiovascular health screenings for each NHS board against a target was one of the Scottish Government's 'HEAT' (Health Improvement, Efficiency, Access to Services and Treatment)performance indicators. The target applied during the threee financial years 2009/10 to 2011/12. Information on Cardiovascular Anticipatory Care Screenings was published in 2011 and 2012 to support the reporting of this target. Further information on this target can be found on the Scottish Government Scotland Performs website.
HEAT targets are reviewed each year and targets due for delivery in 2013/14 no longer include 'Inequalities Targeted Health Checks', therefore this information has been discontinued. More information on HEAT targets can be found on the Scottish Government website.
For more information contact: Colin Fischbacher 0131 275 7063
R June 2013. A minor typing error in the number of checks reported has been updated. The impact of this is that the total number of checks reported in the first key point is now 47,776 and not 47, 766 as previously reported.