020 7834 5502 | nhsnwl.millbank@nhs.net

Cardiovascular Risk Management (CRM) service

What is the CRM service?

The Cardiovascular Risk Management (CRM) service is a new NHS programme designed to support people who may be at higher risk of developing conditions such as: 

  • Heart disease
  • Stroke
  • Diabetes complications
  • Kidney problems

The aim is to help you stay healthy for longer, reduce future risks, and support you to make changes that matter to you. 

Why have I been invited?

You have been invited because your GP practice has identified that you may benefit from a proactive health review

This could be because: 

  • You have one or more long-term conditions (such as high blood pressure or diabetes)
  • Some of your recent results suggest increased health risks
  • You may benefit from extra support with lifestyle or prevention

 This is a routine and preventative appointment, not because something is wrong. 

What will happen at my appointment?

Your initial check and test appointment will usually last around 30 minutes and will be 

  • Nurse/HCA/GPA- During this appointment, blood tests /physical measurements will be taken, including a discussion around your lifestyle and follow-up with some screening questions

After this appointment, a follow-up appointment will be made for you in a few weeks. 

During this appointment, we will: 
  • Review your current health and any conditions you may have
  • Discuss your blood pressure, cholesterol, or other results
  • Talk about your lifestyle (such as diet, activity, or smoking)
  • Agree on a personalised care plan based on what matters to you

How can I help make my appointment successful?

To help us provide the best possible care and make the most of your appointment, we ask patients to:

Before your appointment

Complete the pre-screening questionnaire sent by your GP practice.
This may be sent by:

  • Email
  • NHS App
  • Text message

Completing this in advance helps the clinical team prepare for your appointment and focus on what matters most to you.

On the day of your appointment

Please come prepared to:
Provide a urine sample
• Discuss any health goals or lifestyle changes you may wish to make, such as:

  • Weight management
  • Stopping smoking
  • Improving blood pressure
  • Increasing physical activity
  • Healthy eating

Thinking about these areas beforehand can help us create a personalised care plan that supports your health goals and improves your long-term wellbeing

After your follow-up appointment:

  • Complete the post-screening questionnaire sent by your GP practice. This may be sent in the same way as your pre-screening questionnaire.

What is a care plan?

A care plan is a simple plan we create together that may include: 

  • Health goals that are important to you
  • Any changes to your medication (if needed)
  • Support services that could help you

You will be involved in all decisions—we will work with you, not just for you

What support is available?

  • If helpful, we may connect you to local services such as:
  • Social prescribing (community support)
  • Weight management programmes
  • Physical activity support
  • Smoking cessation services

Will I need follow-up appointments?

Some patients may benefit from follow-up support. This could include: 

  • Checking your progress
  • Adjusting your care plan
  • Ongoing advice and encouragement

Do I have to attend?

The appointment is optional, but we strongly encourage you to attend as it can help: 

  • Reduce your risk of serious illness
  • Improve your overall well-being
  • Give you more control over your health

📞 How do I book or rearrange?

If you would like to book, change, or cancel your appointment, please contact your GP practice. 

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