Atrial fibrillation and heart failure

What is the programme and its aims?
The overall aim of the programme is to save lives by improving cardiovascular disease prevention and the management of cardiovascular risk in primary care.

The objectives of the programme are to:

  • Review evidence and best practice on effective cardiovascular disease prevention.
  • To create a compelling case for change through developing the scorecard for cardiovascular disease prevention and business case to demonstrate potential impact of improvements.
  • ‘Holding up a mirror’ to clinical commissioning groups and health and well-being boards on current service provision and performance in cardiovascular disease prevention by developing a scorecard on cardiovascular disease prevention data that can be benchmarked across East Midlands.
  • Review and develop options to support the spread of best practice including the development of new resources and/or signpost to existing resources to support implementation.
  • Reduce inequalities in cardiovascular disease prevention by working with clinical commissioning groups and general practices to implement quality improvement programmes
  • Provide clinical leadership and advice to clinical commissioning groups and health and well-being boards through the cardiovascular disease prevention task and finish group to support constituent organisations in improving cardiovascular disease prevention activities.

Why is the programme required?
3,322 people die prematurely of heart disease and stroke each year in the East Midlands, which equates to 14 people per day.

Cardiovascular disease was responsible for nearly 30% of deaths in 2011 and is the largest cause of disability. Cardiovascular disease is a major cause of premature death, with a quarter of deaths being before the age of 75. Cardiovascular disease means all the diseases of the heart and circulation including coronary heart disease (angina and heart attack), and stroke.

Despite significant improvements in cardiovascular mortality England still lags behind other countries in Europe and the ambition is for England to have the lowest rates of premature mortality from cancer, cardiovascular disease, respiratory and liver disease amongst European peers. If everyone had access to the best treatment that is already available, then following existing trends the NHS in England could avoid an extra 30,000 deaths per year by 2020.


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