I have picked up one life threatening HTN >220 systolic and another with a very aggressive Ca which the consultant said would have killed the pt if left another month. They are just a tiny fraction of the serious health conditions I've encountered doing this - it is very cost effective to my mind.
Sarah
> On 28 Dec 2017, at 08:36, PARSONS, Helen Margert (KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST) <[log in to unmask]> wrote:
>
> We are about to launch a mini health MOT as part of our wellbeing offering. We've run a couple of Health and Wellbeing days and these sort of checks are always oversubscribed. At the first one we picked up someone who was so asymptomatically hypertensive that we had to take him round to the ED to be seen and our smoking cessation team picked up a smoker who's CO levels were borderline CO poisoning!
> It's interesting though that they do tend to attract the worried well to a certain extent but in one day we potentially saved a couple of lives and to me that kind of makes it worth it.
>
> Helen
>
> Helen Parsons MSc RN SCPHN
> Service Manager
> Department of Occupational Health and Wellbeing
> Kings College Hospital NHS Foundation Trust
> Jennie Lee House, Love Walk
> London
> SE5 9RS
>
> Telephone: 020 3299 7533
> Email: [log in to unmask]
>
> King's College Hospital Occupational Health and Wellbeing Department
> is fully accredited to the standards for Safe Effective Quality
> Occupational Health Services. www.seqohs.org
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Lindsey Hall
> Sent: 22 December 2017 12:18
> To: [log in to unmask]
> Subject: Re: [OCC-HEALTH] Value of health checks and mini medicals
>
> Hi
>
> I'd be very interested in the research on this but there are so many factors at play that trying to work out if a pound spent on any sort of health promotion or health check actually pays back a pound + to the business is incredibly difficult. Much comes down to organisational belief, a bit like flu jabs. I know some companies do it because they genuinely believe that if they concentrate on providing health and wellbeing benefits for staff, over time they attract staff who are interested in their health and wellbeing, which leads to greater productivity and less absence. They may have a point but I am yet to find anyone that can actually prove that and I have known a lot of "fit and healthy" employees who go absent for all sorts of reasons.
>
> I do some work in the construction industry but it is mainly medicals that are required for noise, vibration etc with a bit of extra health info chucked in. I also have a housing association client who has run a couple of wellbeing days where I did 30 minutes health checks. I was very open with the business that the true value was questionable and it would be the worried well who turned up and it was. However, it was apparently part of a range of measures that got them into one of the Sunday Times best companies to work for listings and how do you measure the cost benefit of that?
>
> Thanks
>
> Lindsey
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Wendy Jones
> Sent: 22 December 2017 11:29
> To: [log in to unmask]
> Subject: [OCC-HEALTH] Value of health checks and mini medicals
>
> Good morning
>
> I am interested in the current perceived value of health checks, mini medicals etc. When I started in OH many years ago these were often ‘exec medicals’; there were many downsides, not least the fact that they targeted the worried well, rather than those who were really at risk; that they found anomalies that turned out to be benign but caused a huge amount of anxiety in the meantime; and that there was potential for clashing with GPs who took a ‘you found it, you deal with it’ approach. To me, their main benefit was the opportunity they provided for engaging with people and discussing the things that really worried them, rather than the testing itself.
>
> These days the NHS do a lot more health screening than they used to, targeted mainly at the over 40s. In construction, mini-medicals are very much in the ascendance – sometimes done by nurses, sometimes by OH technicians, sometimes by bought in services. They are seen as a really good thing by the employers, H&S professionals and providers, and generally quite appreciated by the workforce as well (who are a high risk population for lots of social and practical reasons). I hear lots of ‘impact stories’ about people who have had major problems identified as a result of general health checks.
>
> Can I ask what other industries are doing? Is construction ahead of or behind the curve in this respect?
> And can anyone point me towards the current evidence for the value of prophylactic health checks for various conditions?
> And happy Christmas 😊
>
> Wendy Jones
> Researcher in Construction OH, Loughborough University [log in to unmask]
>
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