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Statins for ischaemic heart disease: Excellence and equity Hackney, Newham & Tower Hamlets

Statins for ischaemic heart disease: Excellence and equity Hackney, Newham & Tower Hamlets. CHD Mortality<75yrs x Deprivation (IMD): English LA 2006-8. Tower Hamlets. Newham. Hackney.

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Statins for ischaemic heart disease: Excellence and equity Hackney, Newham & Tower Hamlets

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  1. Statins for ischaemic heart disease: Excellence and equity Hackney, Newham & Tower Hamlets

  2. CHD Mortality<75yrs x Deprivation (IMD): English LA 2006-8 Tower Hamlets Newham Hackney

  3. London PCTs: CHD mortality and deprivation score:2005-7 directly standardised rate /100,000 persons all ages

  4. Declining CHD: Increasing obesityHackney, Newham, Tower Hamlets PCTs

  5. % with IHD on statin 3 PCTs 2004- 2010 n≈15,000 I

  6. Lower cost and greater gainSimvaststin vs atorvastatin 2005 Low cost statin agreed. Local guideline

  7. Lower cost and greater gain Generic statins as % all statins London 2009

  8. % on statin and % cholesterol <5mmol/l by ethnic group: 3 PCTs 2007-2009 Statin prescription effect on cholesterol by ethnic group

  9. Gains from improvement • 4000 extra people with IHD on statins • Without statins 150 MI/CVD deaths/ yr • Statins prevent 37 MI/CVD deaths/ yr • East London PCTs above average generic prescribing – lower cost • South Asian people highest statins • Still room for improvement

  10. Funding and guidelines • The Clinical Effectiveness Group is funded by Hackney, Newham and Tower Hamlets PCTs • The three year project on health equity was funded by The Health Foundation • CEG guidelines are available on-line http://www.ihse.qmul.ac.uk/chs/ceg/clinical_guidelines/index.html

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