- Prevention, early detection and treatment of Cardiovascular Disease (CVD) can help people live longer, healthier lives. Too many people are still living with undetected, high-risk conditions such as high blood pressure, raised cholesterol, and atrial fibrillation (AF). AF refers to an irregular heart rate.
- We must utilise all opportunities to work with partners to ensure that people are able to access services that will allow them to prevent and detect health conditions, and upon diagnosis ensure that conditions are managed and optimised effectively.
- In primary care networks we will support all clinical staff including pharmacists to case find and manage people with the three key high-risk conditions of AF, Inadequately Controlled Hypertension (high blood pressure), and Inadequately Controlled Lipids (high cholesterol). The ambition is to prevent 150,000 heart attacks and strokes.
- Behavioural risk factors such as poor diet, smoking and low physical activity, along with high blood pressure, high body mass index and high cholesterol are the main risk factors for cardiovascular disease.
- A large proportion of premature deaths in County Durham from CVD are preventable. Awareness raising of the impact public health interventions can have on CVD is important; whilst people are living longer, they are not necessarily living well and living with CVD contributes to this. An example of this would be smoking cessation policy.
- Continue to work closely with Public Health partners on the CVD prevention agenda (smoking, obesity and healthy living) and implementation of effective and equitable NHS Health Checks.
- Continue to work with partners, pharmaceutical companies and the Academic Health Science Network (AHSN), to detect and medically optimise people with AF to prevent stroke.
- Continue to work with partners to detect and medically optimise people with hypertension to prevent CVD events.
- Continue to work with partners to detect and manage Inadequately Controlled Lipids, and to undertake cascade testing of family members to identify and medically optimise those with Familial Hypercholesterolemia.
- Improved systems to identify and manage people with heart failure (access to echocardiograph / rehabilitation services).
- 30% reduction in number of patients who have not been anticoagulated, i.e. given blood thinners (where indicated).
- 80% reduction in number of patients who have not been risk assessed.
- 50% reduction in number of patients who are inadequately anti-coagulated when required.
- Increase in the number of patients detected with hypertension and to increase the number treated to bring blood pressure within recommended parameters.
Inadequately Controlled Lipids
- Improve the proportion of people who are likely to benefit from lipid modification who have been offered it.
Find out more about this subject in the related Objectives, Goals, Initiatives and Metrics (OGIM) document on Durham County Council’s Committee Services website under the Heath and Wellbeing Board meeting agenda item for 24 November 2021.
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