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Unfortunately a health check with just total cholesterol and a glucose is not much use and cannot meet the requirements for a CVD risk assessment as recommended in NICE CG181. Once other tests are added the marginal costs will increase rapidly with POCT and cost will be considerably greater.

Dermot Neely


From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Shirley Spoors
Sent: 25 August 2017 14:28
To: [log in to unmask]
Subject: POCT in primary care

Dear All

I would love your comments on this recent publication:

Point of care testing in primary care
BMJ Open has published research concerning point of care testing (POCT) in primary care.  Does use of point-of-care testing improving cost-effectiveness of the NHS Health Check programme in the primary care setting?  A cost-minimisation analysis<http://F-EMAIL02.xnuth.nhs.uk:32224/?dmVyPTEuMDAxJiY4ZjFiNGY0Nzg5MmMxMzQxMz01OUEwMjYwNF8yMzQ0M18xMV8xJiY2MGI5MTQxMmZiOTI1NTM9MTIyMiYmdXJsPWh0dHAlM0ElMkYlMkZibWpvcGVuJTJFYm1qJTJFY29tJTJGY29udGVudCUyRjclMkY4JTJGZTAxNTQ5NA==> found that the total expected cost of using POCT to deliver an NHS Health Check in primary care is lower than the laboratory-led pathway.  It also minimises DNA rates and only requires one visit from the patient.

Look forward to your responses

Regards

Shirley

Dr Shirley Spoors
Consultant Biochemist & Specialty Lead, CLS
Department of Clinical Laboratory Sciences (CLS)
Doncaster & Bassetlaw Teaching Hospitals NHS Foundation Trust
[We Care]
T:   01302 6642824   or   01909 500990 ext 2486
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