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About the Authors:
Oliver T. Mytton
Roles Conceptualization, Data curation, Investigation, Methodology, Project administration, Validation, Visualization, Writing - original draft, Writing - review & editing
* E-mail: [email protected]
¶‡ These authors are joint first authors on this work.
Affiliation: MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
ORCID http://orcid.org/0000-0003-3218-9912
Christopher Jackson
Roles Data curation, Formal analysis, Investigation, Methodology, Project administration, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review & editing
¶‡ These authors are joint first authors on this work.
Affiliation: MRC Biostatistics Unit, University of Cambridge, Cambridge, United Kingdom
Arno Steinacher
Roles Formal analysis, Methodology, Software, Writing - review & editing
Affiliation: MRC Biostatistics Unit, University of Cambridge, Cambridge, United Kingdom
Anna Goodman
Roles Conceptualization, Data curation, Methodology, Validation, Writing - review & editing
Affiliation: London School of Hygiene and Tropical Medicine, London, United Kingdom
Claudia Langenberg
Roles Conceptualization, Validation, Writing - review & editing
Affiliation: MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
Simon Griffin
Roles Conceptualization, Validation, Writing - review & editing
Affiliations MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom
Nick Wareham
Roles Conceptualization, Funding acquisition, Methodology, Resources, Supervision, Validation, Writing - review & editing
Affiliation: MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
ORCID http://orcid.org/0000-0003-1422-2993
James Woodcock
Roles Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Supervision, Validation, Visualization, Writing - review & editing
Affiliation: MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
ORCID http://orcid.org/0000-0003-4769-5375Abstract
Background
The National Health Service (NHS) Health Check programme was introduced in 2009 in England to systematically assess all adults in midlife for cardiovascular disease risk factors. However, its current benefit and impact on health inequalities are unknown. It is also unclear whether feasible changes in how it is delivered could result in increased benefits. It is one of the first such programmes in the world. We sought to estimate the health benefits and effect on inequalities of the current NHS Health Check programme and the impact of making feasible changes to its implementation.
Methods and findings
We developed a microsimulation model to estimate the health benefits (incident ischaemic heart disease, stroke, dementia, and lung cancer) of the NHS Health Check...