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Episode 240: The NHS Health Check and mortality: do they help people live longer?

Today, we’re speaking to Dr Jasjot Saund, a public health registrar based in London.

Title of paper: Association of the NHS Health Check with all-cause mortality: a longitudinal cohort study in primary care

Available at: https://doi.org/10.3399/BJGP.2025.0451

The NHS Health Check (NHS-HC) has been shown to improve detection and management of surrogate markers of health, such as blood pressure and cholesterol. The long-term impact, however, is less evidenced, with mortality reductions seen in a UK Biobank cohort and no mortality reduction seen in a Cochrane review of general health checks, including those outside the UK. The current study added real-world evidence from a diverse UK urban population, and a 15-year study period. Survival analysis of GP electronic health record data shows reduced mortality in those who attended an NHS-HC compared with those who did not. These findings should be interpreted cautiously given the observational nature of the study design.

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