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

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

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

4. Declining CHD: Increasing obesity Hackney, Newham, Tower Hamlets PCTs

5. I % with IHD on statin 3 PCTs 2004- 2010 n15,000

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

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

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

11. 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 Gains from improvement

12. 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 Funding and guidelines