Northern England Strategic Clinical Network Conference 15 th May 2015

Robin Mitchell Clinical Director, Northern Strategic Clinical Networks

FYFV and CVD The burden of CVD in North East Challenges and Opportunities

Alignment with 5-Year Forward View Seeing CVD as one condition (‘family of diseases’) Integration of services (New Models of Care) Risk factors, NHS Health Check (Prevention) Case finding in 1 0 care (Prevention) Better management in, and support for PC (Primary Care) ICC (incl. FH) (Prevention & Premature Mortality) Improve survival from OHCA (CPR, AEDs, First Responders, Education, Registry) (Premature Mortality) Raising awareness (Prevention) 24 x 7 CV Services (Equality, 7-Day Working) Care planning (Parity of Esteem, New Models of Care, EOL) Information (CVIN, Service Level Markers, Clinical Audit) (Intelligence) Research (Innovation)

National Priority Actions for Clinical Networks 1.NHS Health Checks to identify and respond to those detected as being at increased CVD risk 2.Improved management of blood pressure and appropriate referral in line with PHE’s blood pressure strategy 3.Support improved management of atrial fibrillation including the use of the GRASP tool 4.Support local organisations to plan the strategic reconfiguration of stroke services 5.Continue to support the commissioning of behavioural change interventions in line with NICE guidance: smoking, alcohol, obesity and physical activity, and transfer learning from the national Diabetes Prevention Programme and its demonstrator sites in preparation for roll- out in 2016/17. CARDIOVASCULAR DISEASE

Local Priorities Prevention, awareness, early detection and intervention in cardiovascular disease Work with partners to deliver the FH cascade testing programme Improved management of AF, heart failure, hypertension, diabetes, peripheral arterial disease, amputations and AAA Develop a co-ordinated approach to CVD case finding and assessment