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72. Opinion.

Author

Bramley, Richard, Newgass, Richard, Ablitt, E., Haskell, Dave, and Fentiman, Gordon

Subjects
*LETTERS to the editor, *ORGANIC farming, *SUSTAINABLE agriculture, *MEAT industry, *DAIRY farms
Abstract

Several letters to the editor are presented in response to articles published in previous issues including a letter about getting the facts on organic farming which appeared in the January 1, 2010 issue, another letter on sustainable farming in the January 8 issue and an article about the health effects of eating meat and dairy in the December 18, 2009 issue.

Published
2010

73. Untitled.

Author

Bramley, Richard

Subjects
*LETTERS to the editor, *FARM tractors
Abstract

A letter to the editor is presented in response to Paul Temple's letter about the Red Tractor Farm Assurance scheme in the November 16, 2012 issue.

Published
2012

74. RSPB and NFU need to work together.

Author

Bramley, Richard

Subjects
*AGRICULTURAL scientists, *AGRICULTURE
Abstract

The author comments on the plan to adopt a more collaborative and less aggressive approach by agriculturists to be involved with the farming community in Great Britain.

Published
2011

75. Evaluating the clinical effectiveness of the NHS Health Check programme: a prospective analysis in the Genetics and Vascular Health Check (GENVASC) study.

Author

Debiec R, Lawday D, Bountziouka V, Beeston E, Greengrass C, Bramley R, Sehmi S, Kharodia S, Newton M, Marshall A, Krzeminski A, Zafar A, Chahal A, Heer A, Khunti K, Joshi N, Lakhani M, Farooqi A, Patel R, and Samani NJ

Subjects
Humans, Cholesterol, Prospective Studies, Risk Factors, State Medicine, Treatment Outcome, Cardiovascular Diseases, Hypertension drug therapy
Abstract

Objective: The aim of the study was to assess the clinical effectiveness of the national cardiovascular disease (CVD) prevention programme-National Health Service Health Check (NHSHC) in reduction of CVD risk., Design: Prospective cohort study., Setting: 147 primary care practices in Leicestershire and Northamptonshire in England, UK., Participants: 27 888 individuals undergoing NHSHC with a minimum of 18 months of follow-up data., Outcome Measures: The primary outcomes were NHSHC attributed detection of CVD risk factors, prescription of medications, changes in values of individual risk factors and frequency of follow-up., Results: At recruitment, 18% of participants had high CVD risk (10%-20% 10-year risk) and 4% very high CVD risk (>20% 10-year risk). New diagnoses or hypertension (HTN) was made in 2.3% participants, hypercholesterolaemia in 0.25% and diabetes mellitus in 0.9%. New prescription of stains and antihypertensive medications was observed in 5.4% and 5.4% of participants, respectively. Total cholesterol was decreased on average by 0.38 mmol/L (95% CI -0.34 to -0.41) and 1.71 mmol/L (-1.48 to -1.94) in patients with initial cholesterol >5 mmol/L and >7.5 mmol/L, respectively. Systolic blood pressure was decreased on average by 2.9 mm Hg (-2.3 to -3.7), 15.7 mm Hg (-14.1 to -17.5) and 33.4 mm Hg (-29.4 to -37.7), in patients with grade 1, 2 and 3 HTN, respectively. About one out of three patients with increased CVD risk had no record of follow-up or treatment., Conclusions: Majority of patients identified with increased CVD risk through the NHSHC were followed up and received effective clinical interventions. However, one-third of high CVD risk patients had no follow-up and therefore did not receive any treatment. Our study highlights areas of focus which could improve the effectiveness of the programme., Trial Registration Number: NCT04417387., Competing Interests: Competing interests: KK was a national advisor for the NHS Health Checks programme., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)

Published
2023
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