1. Healthy Hearts and Kick It
Oliver Phillips – Referral Generation And Partnership Officer (Westminster)

2. CVD Prevention service
Our Reach & Goals
CVD Prevention service
BMI 30+, pre/diabetic, HBP, CKD, TIA
Aims to support 550 people per year
Holistic support
Feedback to GP’s
Smoking cessation
6 one-to-one sessions
Available to any smoker
Aim to support 1437 to quit per year
Overview – criteria – benefits – ultimate goals – prevention – increased focus from public on prevention – people with long term health conitions 2

3. CVD costs NHS £8.96 billion a year 26% of all deaths caused by CVD
DoH aims to reduce smoking to 12% by 2022 3

4. We Deliver Multiple Measures
Blood pressure
Total cholesterol
HDL cholesterol
Exercise advice provided
Healthy lifestyle advice provided
Q risk
Waist Circumference
Smoking status
Smoking cessation advice provided
Smoking referral
Alcohol intake
We will highlight abnormal readings for Cholesterol, Blood Pressure, AFib and Glucose
Over both services we run in a mixture of GP clinics and community settings. We deliver a range of measures that you can see here. These all are QOF points that we will update. Not only we will update these but as part of HH we will flag people with high cholesterol, blood pressure, Afib and glucose. And I am going to show how hopefully this can help CLCCG and all GP’s in Westminster

5. 52% of patients in CLCCG not diagnosed with Hypertension
Healthy Hearts can support with providing BP measurements
So I looked at some figures on the primary care intelligence packs for CVD prevention. And we can see that there is potentially quite a large number of patients that hasn’t been diagnosed with high blood pressure. We can support with this.

6. 57% of people with diabetes diagnosed within CLCCG
Healthy Hearts measure glucose levels within clinics
Again we can see that there could be a large proportion of patients within CL and West London CCG that haven’t been diagnosed with diabetes. Again through our non-fasting glucose measurement we will flag anyone that has a high reading.
These are just 2 examples of how I hope our provision can really support patient and practice outcomes. We would really encourage and practice that has any particular focus to contact us to see how we can help them meet some of these figures.
Like I said we can also measure for irregular BP and cholesterol. All patients will be flagged via a letter or tasked to their GP.

7. Smoking prevalence is better than similar CCG’s in the area
I thought it would be good to show you where our CCG stand in Westminster. Currently doing really well when we look at demographically similar surgeries. We are actually doing really well but there is definitely pockets of the borough where we see a higher prevelance.

8. 3,323 Hospital Admissions Per Year in Westminster
Appointment times, referrals, appointment times can be longer, extra cost
I thought it would be good to show the hospital admissions last year. We can see that Westminster is below the national average but last year there was still a high number. We know that if we can get more people to quit that this number can reduce. We really see there is still a need to improve this.
Hospital admissions are more likely to mean more appointments.
3,323 Hospital Admissions Per Year in Westminster

9. Quit Dates Set Cumulative 619 1188 1454
Target Quit Dates Set
690
1322
2041
% Achieved 90 71
We are looking to improve thiese numbers across the smoking cessation service over the next few months. And I really wanted to come to you with options in how we can support this.

10. Pilot in Portsmouth Hospital 2011-2012
The DoH commissioned NCSCT community interest group to test a streamlined, systematic and robust referral system in one acute trust that would increase the referral of smokers to appropriate stop smoking support.
Achieve this by enabling:
A simple and time efficient referral system
Effective and measurable VBA training
A system that enables stop smoking services to respond quickly and efficiently to referred patients
A whole system approach that stimulates progress towards providing a supportive environment for patients to stop smoking
I wanted to show you a case study from a hospital in Portsmouth that developed a new system that had some really amazing results.

11. Key Outcomes
Prior to the pilot 55 members of staff were reported as being trained in VBA by the local stop smoking services. Online VBA was offered to all staff and 282 staff were trained.
In total there were 330 referrals made overall by all referral methods. This equates to a total increase of 602% when compared to the 47 referrals made during the same period in the previous year.

12. L1 Smoking Cessation Training
Certified training
VBA
Smoking prevalence and dangers
Referral familiarisation
Delivered by Kick It
Between 1/1 and a half hours

13. DoH – Towards a Smokefree Generation
“Promote links to "stop smoking" services across the health and care system and full implementation of all relevant NICE guidelines by 2022.”
“Provide access to training for all health professionals on how to help patients - especially patients in mental health services - to quit smoking”

14. Summary We can support with QOF’s Help improve patient outcomes
Support with diagnosis
Deliver free certified bespoke training programmes

15. Westminster Launching in January Currently being mobilised
Integrated healthy lifestyle service (combining Kick It and Healthy Hearts)
Smoking cessation remaining largely the same
Delivery of ONE YOU Clubs
We are currently looking for extra clinics
Training
Can we have GP’s from each network refer into one GP clinic 15

16. References