Moderately Advise & reinforce healthy lifestyle. inactive Increase motivation for Highlight benefits for health – Moderately activity physical activity pathway active Advise & reinforce healthy lifestyle. Increase motivation for Inactive Highlight benefits for health – activity physical activity pathway Audit-C Status Goal ACTION Low audit –C score <2 And two Reinforce healthy lifestyle alcohol free days a week Advise re identification of units of Audit- C score Raise awareness of safe alcohol & reinforce health benefits 5 drinking advise of alcohol free days. Refer to GP or practice nurse Audit –C Brief intervention and further audit-C questions score > 5 and local alcohol pathway Pulse check Status Goal ACTION Steady regular pulse Irregular Refer to GP or practice nurse for resting pulse To detect if undiagnosed assessment if further tests ECG taken for 30 rhytym disorder requires seconds All patients should be offered lifestyle advice to reduce their cardiovascular risk. The health care professional will discuss with the patient any lifestyle changes which they wish to make and this should be recorded on the NHS Health Check template along with all lifestyle advice given. Any lifestyle advice or interventions given at the practice should be in line with best practice guidance as outlined in each of the lifestyle intervention care pathways in Section 5. These include: Stopping smoking: See Stop Smoking Brief Intervention and Care Pathway (sect 5.6) Weight Management: See Weight Management Brief Intervention & Care Pathway (sect 5.7) Physical activity: See Physical Activity Brief Intervention & Care Pathway (sect 5.8) Dietary Management: See Healthy Eating Brief Intervention & Care Pathway (sect 5.9) Alcohol: See Alcohol Screening, Brief Intervention & Care Pathway (sect 5.10) As a result of the NHS Health Check, there may be a number of clinical issues identified that require management by the GP, or other professional with suitable patient information and prescribing rights. Section 6 provides guidance on the management of these clinical risk factors and is based on NICE guidance, and local best practice guidance.
Moderately inactive Moderately active Increase motivation for activity Advise & reinforce healthy lifestyle. Highlight benefits for health – physical activity pathway Inactive Increase motivation for activity Advise & reinforce healthy lifestyle. Highlight benefits for health – physical activity pathway Audit-C Status Goal ACTION Low audit –C score <2 And two alcohol free days a week Reinforce healthy lifestyle Audit- C score 5 Raise awareness of safe drinking advise Advise re identification of units of alcohol & reinforce health benefits of alcohol free days. Audit –C score > 5 Brief intervention Refer to GP or practice nurse and further audit-C questions and local alcohol pathway Pulse check Status Goal ACTION Steady regular pulse Irregular resting pulse taken for 30 seconds To detect if undiagnosed rhytym disorder Refer to GP or practice nurse for assessment if further tests ECG requires All patients should be offered lifestyle advice to reduce their cardiovascular risk. The health care professional will discuss with the patient any lifestyle changes which they wish to make and this should be recorded on the NHS Health Check template along with all lifestyle advice given. Any lifestyle advice or interventions given at the practice should be in line with best practice guidance as outlined in each of the lifestyle intervention care pathways in Section 5. These include: Stopping smoking: See Stop Smoking Brief Intervention and Care Pathway (sect 5.6) Weight Management: See Weight Management Brief Intervention & Care Pathway (sect 5.7) Physical activity: See Physical Activity Brief Intervention & Care Pathway (sect 5.8) Dietary Management: See Healthy Eating Brief Intervention & Care Pathway (sect 5.9) Alcohol: See Alcohol Screening, Brief Intervention & Care Pathway (sect 5.10) As a result of the NHS Health Check, there may be a number of clinical issues identified that require management by the GP, or other professional with suitable patient information and prescribing rights. Section 6 provides guidance on the management of these clinical risk factors and is based on NICE guidance, and local best practice guidance.
Pharmacy-Toolkit-NHS-Health-Checks-Sect-4-Clinical-Protocol.docx