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

Tower Hamlets Hackney Newham CHD Mortality<75yrs x Deprivation (IMD): English LA

London PCTs: CHD mortality and deprivation score: directly standardised rate /100,000 persons all ages

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

I % with IHD on statin 3 PCTs n15,000

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

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

Statin prescription effect on cholesterol by ethnic group % on statin and % cholesterol <5mmol/l by ethnic group: 3 PCTs

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

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 Funding and guidelines