FEWER than half of eligible adults are having their midlife MOTS, as a national review of the NHS Health Check is ordered.
The check-ups every five years are designed to help save lives but a government watchdog has ruled not enough people are being offered or receiving them in England.
The scheme helps assess the risk of over-40s developing heart disease, kidney disease, type 2 diabetes or a stroke in the next 10 years.
Gareth Davies, head of the National Audit Office, said: "Each year thousands of lives are lost to cardiovascular disease, with billions of pounds spent tackling it.
"Health checks can play a crucial role in bringing these numbers down.
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