Lookup NU author(s): Professor David Hunter,
Dr Shelina Visram
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
In April 2013, the public health function was transferred from the NHS to local government,making local authorities (LAs) responsible for commissioning the NHS Health Checkprogramme. The programme aims to reduce preventable mortality and morbidity in peopleaged 40 to 74.The national five-year ambition is to invite all eligible individuals and to achieve an uptake of75%. This study evaluates the effects of LA expenditure on the programme’s invitation rates(the proportion of the eligible population invited to a health check), coverage rates (theproportion of the eligible population who received a health check) and uptake rates(attendance by those who received a formal invitation letter) in the first three years of thereforms. We ran negative binomial panel models and controlled for a range of confounders.Over 2013/14 to 2015/16, the invitation rate, coverage rate and uptake rate averaged 57%28% and 49% respectively. Higher per capita spend on the programme was associated withincreases in both the invitation rate and coverage rate, but had no effect on the uptake rate.When we controlled for the LA invitation rate, the association between spend and coveragerate was smaller but remained statistically significant. This suggests that alternatives toformal invitation, such as opportunistic approaches in work places or sports centres, may beeffective in influencing attendance.
Author(s): Mason AR, Liu D, Marks L, Davis H, Hunter D, Jehu LM, Visram S, Smithson J
Publication type: Article
Publication status: Published
Journal: Health Policy
Print publication date: 01/09/2018
Online publication date: 19/07/2018
Acceptance date: 12/07/2018
Date deposited: 27/07/2018
ISSN (print): 0168-8510
ISSN (electronic): 1872-6054
Publisher: Elsevier Ireland Ltd.
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