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Letters NHS Health Check

Risk stratification could reduce costs in primary prevention of cardiovascular disease

BMJ 2011; 343 doi: (Published 10 August 2011) Cite this as: BMJ 2011;343:d4913
  1. Andrew R H Dalton, doctoral student1,
  2. Richard J Bull, senior public health strategist2
  1. 1Department of Primary Care and Public Health, Imperial College, Charing Cross Hospital, London W6 8RP, UK
  2. 2NHS City and Hackney, London EC2A 2EJ, UK
  1. andrew.dalton07{at}

England is rolling out a major primary prevention programme for cardiovascular disease, the NHS Health Check.1 2 Only patients at high risk of diabetes need a blood glucose test, not all need serum creatinine tests, but all must have lipids assessed. We investigated, using data from 73 853 medical records in NHS Ealing,3 the need to measure lipids …

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