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<p>The NHS Long Term Plan sets out the National Health Service’s commitment to provide
greater access to echocardiography in primary care to improve the early detection
of heart valve disease, and advises that people with heart failure and heart valve
disease will be better supported by multi-disciplinary teams as part of primary care
networks.</p><p>In relation to stethoscope usage, Public Health England has advised
that the NHS Health Check does not currently include formal assessment of heart sounds.
Therefore, stethoscopes are not used for this purpose in the programme.</p><p>The
NHS Health Check is made up of three key components: risk assessment, risk awareness
and risk management. During the risk assessment, standardised tests are used to measure
key risk factors and establish the individual’s risk of developing cardiovascular
disease. The outcome of the assessment is then used to raise awareness of cardiovascular
risk factors, as well as inform a discussion on, and agreement of, the behavioural
and medical approaches best suited to managing the individual’s health risk.</p><p>
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