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Ms Maureen Carroll Heart Disease Action Plan Co-ordinator. HEART DISEASE ACTION PLAN. HEART DISEASE in SCOTLAND Coronary Heart Disease and Stroke: STRATEGY FOR SCOTLAND (2002) Strategy Update 2004: Coronary Heart Disease and Stroke in Scotland

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Ms maureen carroll heart disease action plan co ordinator

Ms Maureen CarrollHeart Disease Action Plan Co-ordinator

HEART DISEASE

ACTION PLAN


HEART DISEASE in SCOTLAND

  • Coronary Heart Disease and Stroke: STRATEGY FOR SCOTLAND (2002)

  • Strategy Update 2004: Coronary Heart Disease and Stroke in Scotland

  • BETTER CORONARY HEART DISEASE AND STROKE CARE: A CONSULTATION DOCUMENT (2008)

  • BETTER HEART DISEASE AND STROKE CARE ACTION PLAN (2009)

    • BRAGB Report (March 2011)

    • Heart Disease Action Plan: CHD MCN Workshop (May 2011)

    • HDAP Monitoring Report (May 2012)


The tide is turning isd heart disease statistics update november 2011
The Tide is Turning:ISD Heart Disease Statistics Update ~ November 2011


Heart disease action plan prioritisation workshop
Heart Disease Action Plan Prioritisation Workshop:

  • 42 HD Actions

  • 27 HD Actions for MCNs

    • 6 not for MCNs

    • 7 HD Priority Areas from 21 Individual HD Actions

    • 1 HD Priority Area proposed by Lead Clinician

      • Promoting Healthy Lifestyle

      • Improving Mental Health

      • New Definition of AMI / ACS

      • Improving Access & Patient Experience of Cardiac Rehabilitation

      • Improving Heart Failure Services

      • Improving Management of Patients with Atrial Fibrillation

      • Improving Patient Information

      • Improving HD Data Collation


1 promoting healthy lifestyle monitoring
1. Promoting Healthy Lifestyle: Monitoring

  • Increasing trend towards implementation of structured Heart Disease Education & Training Strategy

  • HEART-E

    • Risk Factors

    • Motivational Interviewing / Behavioural Change / Brief Intervention

    • Self-management skills for HCP

  • Community Pharmacy Involvement (National Level)


2 improving mental health implementing
2. Improving Mental Health: Implementing

  • Mixed Picture

  • Assessment Tool

  • HEART-E

    • Brief Psychological Assessment & Interventional Module (NHS A&A)

  • Self-care Toolkit & Support Plan (NHS FV)


3 new definition of ami acs monitoring
3. New Definition of AMI / ACS: Monitoring

  • Well established

  • HEART-E Module required

  • Consistency of Patient Pathways across Regions


4 cardiac rehabilitation monitoring
4. Cardiac Rehabilitation: Monitoring

  • Well developed – However, Issues of Capacity & Inequality

  • ↑Telehealthcare Solutions

  • Home Exercise DVD (NHS A&A)

  • Service Redesign

  • Introduction of Wellbeing Techniques (Mindfulness / Tai Chi)


5 improving heart failure services implementing
5. Improving Heart Failure Services: Implementing

  • Mixed picture re Capacity

  • HEART-E

  • ↑Telehealthcare Solutions


6 atrial fibrillation implementing
6. Atrial Fibrillation:Implementing

  • Mixed picture

  • Resuscitation – Arrhythmias

  • Emergency Life Support – Rural & Island Communities


7 improving patient information monitoring
7. Improving Patient Information Monitoring

  • Well Established

  • In place across Scotland


8 improving hd data collation implementing
8. Improving HD Data Collation: Implementing

  • Awaiting notification of HD KQIs

  • Variety of solutions across Scotland

  • Healthcare Improvement Scotland & HD MCN Sub discussions required

  • PROMS


National developments
National Developments:

  • Heart Disease Learning Forum

  • HEART-E

  • Heart Disease Action Plan Implementation Fund

  • Joint Mental Health Project

  • Heart Disease CoP Website

  • Emergency Life Support Framework

  • LTC Physical Activity Scoping Project


Next steps
Next Steps:

  • Visits

  • November Update

  • Patient Engagement Survey (Nov 2012)

  • HD Data Survey (Nov 2012)

  • HD Monitoring Report ~ May 2013

  • New Priorities / Measurement of Success ~ May to Nov 2013

  • HD Learning Forum ~ Nov 2013


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