I wouldn't necessarily assume that
not suggesting investigations is detrimental to patient health. There is a continuing big debate in the UK medical profession about how over-investigation and over-medication/medicalising people can be a real problem in terms of patient health.
If you are seeing a disparity between UK and US in terms of advice about when something needs to be investigated, it could be that the US site is over-promoting investigations.
Keep in mind that the NHS puts a lot of work into prevention, into staying healthy without medication - it will quite often advise life-style changes, rather than popping pills - and that's for patient benefit.