Hippo’s NHS Health Check indicators identify and recall eligible adults aged 40–74 years for their 5-year NHS Health Check.
They follow NHS England’s programme rules and Public Health England guidance — automatically excluding ineligible patients and tracking both completed and outstanding checks.
📋 The Eligible Population
Cohort | Eligibility | Definition |
HIPPONHSHC001 | Adults aged 40–74 with no history of cardiovascular or metabolic disease | Excludes patients with CHD, CKD (stage 3–5), diabetes, hypertension, AF, stroke/TIA, familial hypercholesterolaemia, heart failure, or PAD, and those prescribed statins in the last 12 months. |
HIPPONHSHC002 | Eligible adults who haven’t had a Health Check in the last 4 years | Excludes patients with a completed, declined, or DNA’d Health Check within the past 5 years. |
✅ In short: patients aged 40–74 with no long-term condition and no Health Check in the past 4 years will appear for recall.
🩺 The Indicators
🧾 HIPPONHSHC001 — NHS Health Check for All Eligible Patients (5-Year Cycle)
Measures: % of eligible adults (40–74) who have completed an NHS Health Check in the last 5 years.
Counts as complete if:
An NHS Health Check completed code is recorded within the last 5 years.
Exclusions:
Health Check declined within the last 5 years.
Hippo Eligible rule:
Patients become eligible again 60 months after their last Health Check date.
✅ In short: everyone aged 40–74 should have a full NHS Health Check recorded every 5 years.
📅 HIPPONHSHC002 — NHS Health Check for the Current Year
Measures: % of eligible adults (40–74) who have completed, declined, or not attended (DNA) an NHS Health Check in the current financial year.
Counts as complete if:
Any NHS Health Check event (completed, declined, or DNA) is recorded within the last 12 months.
Exclusions:
Health Check declined within the last 5 years.
✅ In short: monitors total Health Check activity — not just completions — within the current year.
💓 HIPPONHSHC002a — BP Check for NHS Health Check
Measures: % of eligible adults with a blood pressure reading recorded in the last 12 months.
✅ In short: BP recorded within the last year counts as complete.
⚖️ HIPPONHSHC002b — BMI Check for NHS Health Check
Measures: % of eligible adults with a BMI recorded in the last 12 months.
✅ In short: BMI recorded within the last year counts as complete.
🧪 HIPPONHSHC002c — Cholesterol Check for NHS Health Check
Measures: % of eligible adults with a cholesterol result recorded in the last 12 months.
✅ In short: cholesterol recorded within the last year counts as complete.
🍬 HIPPONHSHC002d — HbA1c Check for NHS Health Check
Measures: % of eligible adults with an HbA1c result recorded in the last 12 months.
✅ In short: HbA1c recorded within the last year counts as complete.
🩸 HIPPONHSHC002e — All Physical Checks for NHS Health Check Complete
Measures: % of eligible adults with all four physical components of the Health Check completed within the last 12 months, including a recorded review or advice entry.
Counts as complete if:
Blood Pressure, BMI, Cholesterol, and HbA1c all recorded within 12 months, and
A Health Check review/advice event is recorded within the 5-year window.
✅ In short: all four results must be coded within 12 months — and linked to a Health Check review/advice entry.
⚙️ Hippo Eligible Logic
Trigger | Description |
Eligibility date: | Patients become eligible for recall 5 years after their last completed, declined, or DNA’d NHS Health Check. |
✅ In short: recall begins 5 years after the last recorded Health Check (or sooner if no previous record exists).
⚠️ Common Pitfalls
Patients on long-term condition registers incorrectly included.
Statin use not coded, leading to false eligibility.
Declines or ineligibility recorded in free text instead of using valid codes.
Missed “completed elsewhere” entries not coded in the patient record.
🌟 Why This Matters
Following these indicators helps practices:
Deliver NHS Health Checks for all eligible 40–74-year-olds.
Identify patients overdue for cardiovascular and diabetes risk screening.
Track completion, engagement, and follow-up activity.
Support population health, CVD prevention, and local ICB targets.
✅ In short: Hippo’s NHS Health Check indicators make it easy to track eligibility, recalls, and completions — ensuring your practice stays on top of preventive care for adults aged 40–74.
📚 Sources
Hippo Business Rules v12.1 (July 2025)
Public Health England — NHS Health Check Programme Guidance
NHS Digital / QOF Code Sets (v46 baseline)