Why annual health checks for people with a learning disability must remain a priority
At Healthwatch North Yorkshire, we listen to what people tell us about their health and care experiences — and act on what matters most. That’s why we’re deeply concerned about NHS England’s recent decision to remove the national target for annual health checks for people with a learning disability.
Until recently, NHS England had a clear goal: ensuring that at least 75% of people with a learning disability received a health check each year. It was a vital benchmark, helping improve access to care and reduce health inequalities for one of the most underserved groups in society.
Why these checks matter
Annual health checks are more than just routine appointments. For many people with a learning disability, they’re a crucial lifeline — a chance to spot undiagnosed conditions, prevent health issues from escalating, and receive tailored support.
- People with a learning disability face some of the starkest health inequalities in the UK. On average, they die 20–25 years earlier than the general population.
- Many of these deaths are avoidable and linked to conditions that, if caught early, can be managed or treated.
- According to the Challenging Behaviour Foundation, only 76% of eligible people received a health check in 2021/22 – just above the now-scrapped target. Without a clear national commitment, this progress is at risk.
Locally, we’ve seen firsthand how important these checks are. In North Yorkshire, uptake was already falling — down from 64% in 2022–23 to 51% in 2023–24. Losing a national target sends the wrong message at a time when we should be doing more, not less.
A step backwards
Removing this target risks sending annual health checks to the bottom of the priority list. Without the structure of a national benchmark, there’s a real concern that fewer people will be offered a check — and more will fall through the cracks.
We also lose a clear way of tracking progress and holding services to account. Targets aren’t everything, but when used well, they shine a light on where improvements are needed and help ensure people aren’t left behind.
Our commitment
At Healthwatch North Yorkshire, we’re here to make sure everyone’s voice is heard — especially those who are often overlooked.
We will:
- Continue to raise awareness of annual health checks and encourage eligible people and families to speak to their GP.
- Share local experiences with NHS and social care decision-makers to help improve access and delivery.
- Stand with organisations like Mencap and the Challenging Behaviour Foundation in urging NHS England to reconsider this decision.
What you can do
If you or someone you care for has a learning disability:
- Check with your GP that they are on the learning disability register.
- Ask for an annual health check – it's free and could make a real difference.
- Tell us about your experience – your voice helps shape local services.
This issue affects real people, in real ways. Together, we can keep pushing for a fairer health and care system for all.
