Cardiovascular Outcome Strategy Implications for Primary Care Westcliffe Medical Practice Shipley Westcliffe Cardiology Service Dr Matthew Fay Westcliffe.

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Presentation transcript:

Cardiovascular Outcome Strategy Implications for Primary Care Westcliffe Medical Practice Shipley Westcliffe Cardiology Service Dr Matthew Fay Westcliffe Medical Practice National Clinical Lead NHS Improvement

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Explaining the fall in CHD deaths in England Treatments-42% AMI treatments-8% AMI treatments-8% Secondary prevention-11% Secondary prevention-11% Heart failure-12% Heart failure-12% Angina: CABG/PCI-4% Angina: CABG/PCI-4% Angina: drugs-5% Angina: drugs-5% BP treatment-3% BP treatment-3% Risk factors worse +13% Obesity+3.5% Obesity+3.5% Diabetes+4.8% Diabetes+4.8% Less physical activity+4.4% Less physical activity+4.4% Risk factors better-71% Smoking-41% Smoking-41% Cholesterol-9% Cholesterol-9% Popul’n BP fall-9% Popul’n BP fall-9% Deprivation-3% Deprivation-3% Other factors-8% Other factors-8% 0 -20, , , , IMPACT model; Redrawn from Unal, Critchley & Capewell Circulation 2004;109(9): ,230 fewer deaths in 2000

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service The size of the gap - Males Bradford

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service Expected prevalence

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service

Westcliffe Medical Practice Shipley Westcliffe Cardiology Service