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Preventive Care

NHS Health Check for Beginners: Where to Start

NHS Health Check: the few things that matter most, and the mistakes that catch people out early.

Dr Amara Nwosu, PhD, RD Editor-in-chief and registered dietitian 3 min read 4 views
NHS Health Check for Beginners: Where to Start

A cardiovascular risk assessment offered to adults aged 40 to 74 in England.

Key takeaways

  • Age range, England: 40 to 74
  • Interval: every 5 years
  • Most useful single change: Accept the invitation when it arrives.
  • Commonest mistake: Declining because you feel well; that is the point of it.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Why bother

It exists specifically to find the conditions that have no symptoms yet, and uptake is well below the invitation rate.

Start here

These two first. Everything else is easier once they are habit.

  • Accept the invitation when it arrives
  • Ask for your ten-year cardiovascular risk score and what it means

Then add these

When those have settled in, these are worth adding.

  • Bring a list of your medicines and any family history
  • Ask what would change the number

The numbers, in one place

Published figures for NHS Health Check
MeasureFigure
Age range, England40 to 74
Intervalevery 5 years
Coversblood pressure, cholesterol, BMI, diabetes and cardiovascular risk
Costfree
Other UK nationsdifferent arrangements; check locally

Common early mistakes

  • Declining because you feel well; that is the point of it
  • Treating it as a full health check; it is cardiovascular-focused
  • Ignoring follow-up appointments after an abnormal result

Where to go next

When to speak to a doctor

Do not wait for a Health Check if you have symptoms. Call 999 for chest pain lasting more than a few minutes, sudden weakness on one side, or difficulty speaking. See a GP promptly for unexplained weight loss, a persistent cough, blood in urine or stool, or a new lump.

Where this comes from

  • NHS — NHS Health Check
  • NICE — Cardiovascular disease: risk assessment and reduction

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Amara Nwosu

Editor-in-chief and a registered dietitian of fourteen years. Spent six of them in NHS outpatient clinics, which is where she learned that the advice people actually follow beats the advice that is technically optimal.

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