Letters Universal health checks debate

Response to Krogsbøll and colleagues: NHS health checks or government by randomised controlled trial?

BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f5984 (Published 09 October 2013) Cite this as: BMJ 2013;347:f5984
  1. Michael Soljak, clinical research fellow1,
  2. Azeem Majeed, professor of primary care1,
  3. Chris Millett, reader1
  1. 1Department of Primary Care and Public Health, Imperial College London, Charing Cross Campus, London W6 8RP, UK
  1. m.soljak{at}imperial.ac.uk

Krogsbøll and colleagues have followed up their Cochrane systematic review of health checks with a call to abandon the NHS Health Check programme.1 We challenge their view that a randomised controlled trial (RCT) of the current programme should be the sole arbiter of national health policy decisions. The dearth of RCTs of screening for risk of cardiovascular disease since 1999 is unfortunate, but there were many RCTs of individual screening components over this period.

RCTs are expensive and time consuming, …

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