NHS Health Check Coding Criteria: NHS Merton

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In-Practice Quarterly Health Check Discrepancies Investigation Process: NHS Merton

Ensure that the following criteria are included in the CLINICAL SYSTEM SEARCH:

 

-          Completed NHS Health Check code - 8BAg 

-          Age 40 to 74 years old at the time of the health check.

-          No prior Health Check in practice or by a third-party (8BAg, 8BAg0) in the previous 5 years.

 

In addition to the correct codes, only eligible patients are considered.  

To be eligible, a patient must not have one of the excluded conditions at the time of the health check.

 

Further Health Check Focus EXCLUSIONS:

-          Coronary Heart Disease diagnosis prior to the health check (QOF IHD codes)

-          Chronic Kidney Disease (CKD 3,4,5) diagnosis prior to the health check (QOF CKD codes)

-          Diabetes diagnosis prior to the health check (QOF DM codes)

-          Hypertension diagnosis prior to date of health check (QOF HYP codes)

-          Atrial Fibrillation diagnosis prior to the health check (QOF AFIB codes)

-          Stroke/ Transient Ischaemic Attack diagnosis prior to the health check (QOF STRTIA codes) 

-          Familial Hypercholesterolaemia identified prior to the health check (QOF FHHC codes)

-          Heart Failure diagnosis prior to the health check (QOF HF codes)

-          Peripheral Arterial Disease diagnosis prior to the health check (QOF PAD codes) 

-          Issue of Statin medication within 6 months prior to date of health check (bxi..%,bxg..%,bxe..%,bxk..%,bxd..%)

-          Latest CVD Risk score prior to health check is greater than 20%   (38DP.,38DF, 662m.,662n.)

-          Patient Unsuitable code entered prior to health check (8CM1.%,8CM4.,9NSH.)

 

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