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The NHS Health Check programme aims to reduce the risk of common preventable diseases by providing risk information and behaviour change advice. Failure to deliver the consultation appropriately could undermine its efficacy. To date, to the authors' knowledge, there are no published data on the fidelity of delivery of NHS Health Checks. To assess the fidelity of delivery of NHS Health Checks in general practice. Fidelity assessment of video and audio recordings of NHS Health Check consultations conducted in four GP practices across the E