Table 1. NHS Health Check fidelity checklist based on NHS Health Check Best Practice Guidance¹

Item	Criteria
Risk assessment
Ethnicity	Asked patient their ethnicity
Height	Measured height
Weight	Measured weight
Blood pressure	Measured blood pressure
Pulse rhythm	Palpated pulse and verbalised comment regarding pulse
Cholesterol	Evidence of cholesterol measurement taken
Family history of CVD	Asked patient about any family history of cardiovascular disease
Alcohol usage	Asked patient about alcohol consumption per week
Smoking history	Asked patient about smoking status
Weekly physical activity	Asked patient number of hours of physical activity completed per week
Risk communication
QRISK2 score	Told patient their QRISK2 percentage score
Blood pressure	Told patient their blood pressure
BMI	Told patient their BMI
Cholesterol	Told patient their cholesterol
AUDIT-C	Told patient their AUDIT-C score
Risk management
Lifestyle advice	Suggested, or encouraged the patient to suggest, specific lifestyle changes for risk reduction
Clinically appropriate lifestyle advice	As for 'lifestyle advice', but where lifestyle advice is given which relates to at least one lifestyle factor for which the patient was outside of the recommended limits
Dementia risk information	Told patient the key message that the risk factors for CVD and dementia are the same