Regional cvd prevention sept 10

Regional CVD prevention

CVD Showcase, Liverpool, Sept 2010

Robin Ireland, Chief Executive, Heart of Mersey

NICE public health guidance 25

What this presentation covers

• Recommendations for regional CVD prevention programmes

• Lessons for Heart of Mersey

• Implications for local policies

What this presentation covers

• Recommendations for regional CVD prevention programmes

Local and regional CVD prevention programmes should: • comprise intense, multi-component interventions• target the whole population• complement initiatives for individuals at high risk• be sustainable for a minimum of 5 years• be allocated adequate time and resources.

CVD programmes:good practice

• Find out about CVD prevalence and incidence locally

• Identify groups that are disproportionately affected

• Consider how policies related to food, tobacco control and physical activity may affect local prevalence

• Gauge the community’s knowledge of CVD risk factors and their ability to make changes to reduce the risk

CVD programmes: preparation

• Ensure the programme:

- adopts a population-based approach

- is underpinned by sound theory

- helps address local targets

- acts as an incentive for commissioning

- tackles health inequalities

- links to strategies targeting people at high risk

of CVD.

CVD programmes: development

• Ensure the programme lasts a minimum of 5 years and is adequately staffed

• Produce a long-term plan – and gain political commitment – for funding beyond the end of the research or evaluation period

• Volunteers should be an additional – rather than a core – resource

CVD programmes: resources

• Identify senior figures within primary care trusts and local authorities to act as champions

• Identify – and provide for training for – people to lead the CVD programme, including local people

• Develop systems within local strategic partnerships and regional (or sub-regional) partnerships to agree shared priorities

CVD programmes: leadership

• Budget for and establish baseline measures before the CVD programme begins

• Ensure evaluation is built in from the outset

• Ensure appropriate methods are used to: - evaluate programme processes- capture health outcome measures or indicators

CVD programmes: evaluation

Lessons for Heart of Mersey

Prevention is cost effective!

20 30 40 50 60 70 80 90

Agedifference in

mortalitymaybe at workat work

Exp

enses

a life with prevention

palliative care

a life without prevention

Source: Kaiser Permanente / Hjalsted

Health is created and maintained

outside the health sector!

Lessons for Heart of Mersey

Lessons for Heart of Mersey

• The importance of a population-based approach• Tackling health inequalities• Working in partnership and addressing local aims• Advocating for appropriate local policies to support

healthier lifestyles

Regional CVD prevention

Working in regional and local partnerships:

Liverpool PCT Healthcare Procurement Unit

15

Value of Local Partnerships

Strategic Change

Collaborative Action

Action learning feedback

Opportunities for

New collaborations

Health at the heart of everyone’s strategy and delivery

Bringing together resources

Building capacity for Health

Influence policy and action

Reach new set of organisations and people

Implications for local CVD prevention – Food and Nutrition policies

Regional CVD prevention

•Improve the diet of children and young people

•Tackle take-away food•Improve food procurement•Improve training for catering managers

•Improve knowledge of local diets•Continue to advocate for appropriate national policies and regulation to support local food and nutrition policies

Implications for local CVD prevention – Tobacco control policies

Regional CVD prevention

•Restrict the supply of tobacco and tobacco products to children and young people

•Tackle illicit tobacco•Develop capacity to support smoke free policies in settings e.g. mental health organisations

•Continue to advocate for appropriate national policies and regulation to support local tobacco control policies

Implications for local CVD prevention – Physical activity policies

Regional CVD prevention

•The physical environment should encourage people to be physically active

•Local transport plans should promote walking and cycling and active transport

•Focus on the needs of children and young people

•Encourage sports stadia and local clubs to be health promoting

•Continue to advocate for appropriate national policies and regulation to support local policies promoting physical activity

Costs and savings per 200,000 population

Over a 5 year period

High deprivation region

Low deprivation region

Number of CVD events (aged 40 yrs+) 16,270 14,140

Current costs (£ million)* 75.10 65.20

Cost of implementation (£ million)regional programme recommendations

0.236 0.236

Savings (£ million) arising from regional programme recommendations

0.420 0.341

* Costs and savings related to CVD events in this table apply to a population aged 40 years and over.

Advocacy

A COMPREHENSIVE APPROACH TO CVD (NCD) PREVENTION

Delivery

AN INTEGRATED SERVICE

Research

Regional CVD prevention

Thank yourobin.ireland@heartofmersey.org.uk