In the first 15 months of its operation, Bradford’s Healthy Hearts campaign has significantly improved the cardiovascular health of local people, and saved an estimated £1.2 m for the clinical commissioning group.
Approaches to the prevention of cardiovascular disease should be tailored to each individual. But almost everyone will benefit from lifestyle interventions that have been shown to reduce cardiovascular risk.
In 2014, the Five-Year Forward View articulated clearly that, if the NHS is to be sustainable, it needs to get serious about prevention. The initial focus was on diabetes prevention; now the national prevention focus has switched to prevention of cardiovascular disease.
Cardiovascular disease (CVD) remains a significant cause of disability and death in the UK, and it is one of the conditions most strongly associated with health inequalities. We can help reduce the CVD burden by reminding our patients of the benefits of a healthy lifestyle.
This case study presents an everyday clinical situation for you to review with guidance from an expert in the field.
Ischaemic or coronary heart disease is the single leading cause of death in any Western population but more critically is one of the leading causes of premature deaths (i.e. deaths < 75 years) in both men and women. There are numerous risk factors for ischaemic heart disease and understanding these and other comorbidities is critical to achieving optimal outcomes.
We all know that diabetes prevalence is increasing. It is estimated that by 2025, 5 million people will have Type 2 diabetes in the UK (Diabetes UK). That potentially means more pressure on an already creaking healthcare system and more people at risk of developing debilitating complications from their diabetes. It doesn’t have to be that way!
People with COPD should be reviewed at least annually according to the Quality and Outcomes Framework. However, there is little mention of the importance of assessing nutritional status and no ‘QOF’ points for doing so. This article describes the assessment and management of COPD patients with a risk of malnutrition.