Cardiovascular disease (CVD) remains a significant cause of disability and death in the UK, and it is one of the conditions most strongly associated with health inequalities. We can help reduce the CVD burden by reminding our patients of the benefits of a healthy lifestyle.
In 2014, the Five-Year Forward View articulated clearly that, if the NHS is to be sustainable, it needs to get serious about prevention. The initial focus was on diabetes prevention; now the national prevention focus has switched to prevention of cardiovascular disease.
The NHS Health Check is a national programme offering a health check-up every five years to adults in England aged 40 to 74 without a pre-existing cardiovascular condition. 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, stroke, kidney disease, type 2 diabetes and dementia. 1 This article reviews the evidence that has accumulated since the programme was established.