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Secondary prevention NHS SoTW

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Secondary prevention NHS SoTW

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    1. Secondary prevention NHS SoTW Dr Jackie Gray

    2. Bridging the Gap Extending the measured length of life, Improving the measured quality of life, Reducing health inequalities in terms of the measured health differential between SoT&W and England and Wales, and between small areas within the patch.

    8. Strategic priorities Take an overview of the development and commissioning of CVD services as a programme. Ensure that PBC and PCT commissioning and development of CVD services is co-ordinated.. To ensure an appropriate balance between the commissioning of prevention, treatment and care in the reduction of mortality from CVD. Expansion of lifestyle services - Ł12M investment Lead on needs assessment, equity audit, performance management, an outcomes and evaluation framework. Act as a local part of the regional cardiac network.

    10. Task groups – priorities Vascular risk Stroke Heart failure Arrhythmia

    11. NHS SoTW Workstreams Partnership working to mobilise community resources Health needs assessment, risk & knowledge management Improving & assuring clinical quality & outcomes Clinical leadership, engagement & workforce development Public & patient engagement & empowerment Procurement, contract management & investment

    12. Vascular Risk task Group Systematic vascular risk identification measurement and management within primary care supported by community services Risk estimation LES Social Marketing IT systems Service models

    13. Participation and coverage

    14. What proportion of the population are at risk?

    15. How do actual risks relate to predictions?

    16. Prevalence of risk across SoTW

    17. Heart Failure Map out the whole patient pathway and develop a standard heart failure pathway for SoTW Review current service provision against the standard SoTW pathway to identify gaps in the service, areas for development and improvement and make recommendations for commissioning to improve and develop services Review all local heart failure guidelines and protocols to ensure they comply with national heart failure guidance & develop a standard heart failure guidelines for the SoTW area Develop competencies for delivery of heart failure service in primary care, review training for primary care clinicians to support the Les and make recommendations Review current heart failure rehabilitation services and identify areas for service improvement and development Review current palliative care services for patients with heart failure and identify areas for improvement and development

    18. Arrhythmia Map out ideal arrhythmia pathway Review current services against the pathway, and develop recommendations for future commissioning service improvement & development

    19. CVA - Early Work Planned Development of a local model of provision of TIA services to reduce stroke incidence Assessment of stroke rehabilitation needs Work with the Cardiovascular Network to raise awareness of stroke in our local populations Build on initial equity audit to gain an understanding of health inequalities in relation to stroke and develop approaches to address these

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