Cardiovascular disease (CVD)
Cardiovascular disease (CVD) includes diseases of the heart or blood vessels and can result in heart attacks and strokes. It often results in patients having a long term condition.
Why have we chosen CVD?
Our public health data and our stakeholders tell us that improving cardiovascular outcomes is important, preventing people from developing diseases of the heart, earlier detection and better management of people at risk.
Cardiovascular disease accounts for 33% of all deaths in Leicester and 28% of all deaths under 75 years of age. It is the major contributory factor to the gap in life expectancy between Leicester and the England. Outcomes for CVD within the city are significantly worse than the rest of the East Midlands, and about 50% higher than the national average.
The factors that make someone more at risk of having an unhealthy heart are potentially reversible and include lifestyle issues such as smoking, obesity, poor diet and lack of physical activity, in addition to socio-economic factors such as low income and poor housing.
Many ethnic minority groups suffer excessive levels of disease as a result of genetic predisposition as well has higher levels of deprivation and social exclusion. In addition, on average South Asians develop acute heart problems around 10 years younger than the population as a whole.
High blood pressure, raised sugar levels and high blood fats are also predisposing conditions to CVD. However, timely detection and treatment of these conditions can help reduce prevalence and premature mortality rates from CVD.
What we will do to improve cardiovascular outcomes?
- Delivery of NHS health check programme by the end of 2013/14
- Redesign diabetes care including more community based services, patient education and enhancing primary care clinical skills
- Improve diabetes prevalence rates from 7.5% to 8% by the end of 2014/15
What will be different by 2015?
- Patients with CVD and diabetes will be better equipped to manage their own conditions
- Patients at risk of developing CVD and diabetes will have information to reduce their chance of developing these conditions
- Deliver 59,043 health checks by the end of 2013/14
- Clinicians in primary care will have increased skills and knowledge to enable better management of patients.
- 95% of practices to have undertaken diabetes training by the end of 2013/14
- We will work towards less people dying prematurely from CVD