I received a letter asking me to make a 20 minute appointment for an annual general health check and review of my chronic conditions - twice in the letter it requested I bring a urine sample. When I called the number I was told that the appointment was at a surgery some distance away. I went along this morning, and the nurse was baffled - the appointment was to record my blood pressure, height weight and smoking history and to take my cholesterol level with a hand held device. My next 'annual' health check will be in five years time. No blood taken to check my thyroid supplementation or Hba1c. No questions about my general health or symptoms of incorrect dose of thyroxine or high blood glucose levels. No need of a urine sample. Well - nice to see that the NHS is aware of my existence, but I'm not all that sure there is much interest in my condition.