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it's blanket messaging done by a service
Yes, it's pretty much all automated. Hence the mid-30s guy who got notified early as his BMI was over the corresponding threshold (40).
If a human had looked at his records and made a decision they would have spotted that it was unlikely he was 6.1" tall, but the computer just calculated the BMI as 28,000, found that to be over 40 and then added him to the list of people to notify early.
It could easily be as simple as: White: Age > 40, Non-White: Age > 32, and your phone goes ping.
Different areas have completely different age profiles too, which further complicates capacity planning.
Greenbank
Fox
Ain't no GP got time for that.
If they're anything like my local practice, it's blanket messaging done by a service won by the cheapest bidder & done even cheaper