Presentation delivered by Heart of Mersey CEO, Robin Ireland on regional heart disease prevention programme in Cheshire and Merseyside. September 30 2010, Liverpool, UK

1. Regional CVD prevention
CVD Showcase, Liverpool, Sept 2010
Robin Ireland, Chief Executive,
Heart of Mersey
NICE public health guidance 25

2. What this presentation covers
• Recommendations for regional
CVD prevention programmes
• Lessons for Heart of Mersey
• Implications for local policies

3. What this presentation covers
• Recommendations for regional
CVD prevention programmes

4. CVD programmes:
good practice
Local and regional CVD prevention programmes
should:
• comprise intense, multi-component interventions
• target the whole population
• complement initiatives for individuals at high risk
• be sustainable for a minimum of 5 years
• be allocated adequate time and resources.

5. CVD programmes:
preparation
• Find out about CVD prevalence and incidence locally
• Identify groups that are disproportionately affected
• Consider how policies related to food, tobacco control
and physical activity may affect local prevalence
• Gauge the community’s knowledge of CVD risk factors
and their ability to make changes to reduce the risk

6. CVD programmes:
development
• Ensure the programme:
- adopts a population-based approach
- is underpinned by sound theory
- helps address local targets
- acts as an incentive for commissioning
- tackles health inequalities
- links to strategies targeting people at high risk
of CVD.

7. CVD programmes:
resources
• Ensure the programme lasts a minimum of 5 years
and is adequately staffed
• Produce a long-term plan – and gain political
commitment – for funding beyond the end of
the research or evaluation period
• Volunteers should be an additional – rather
than a core – resource

8. CVD programmes:
leadership
• Identify senior figures within primary care trusts and
local authorities to act as champions
• Identify – and provide for training for – people to lead
the CVD programme, including local people
• Develop systems within local strategic partnerships
and regional (or sub-regional) partnerships to agree
shared priorities

9. CVD programmes:
evaluation
• Budget for and establish baseline measures
before the CVD programme begins
• Ensure evaluation is built in from the outset
• Ensure appropriate methods are used to:
- evaluate programme processes
- capture health outcome measures or indicators

10. Lessons for Heart of Mersey

11. Prevention is cost effective!
a life without
Expenses
palliative
prevention
care
a life with
prevention
20 30 40 50 60 70 80 90
at work maybe at work difference in
mortality
Source: Kaiser Permanente / Hjalsted Age

12. Lessons for Heart of Mersey
Health is created and maintained
outside the health sector!

13. Lessons for Heart of Mersey
• The importance of a population-based approach
• Tackling health inequalities
• Working in partnership and addressing local aims
• Advocating for appropriate local policies to support
healthier lifestyles
Regional CVD prevention

14. Working in regional and local
partnerships:

15. Liverpool PCT Healthcare Procurement Unit
Value of Local Partnerships
Opportunities for
Strategic
Change New collaborations
Health at the heart of everyone’s
strategy and delivery
Action Bringing together resources
learning Collaborative
feedback Action
Building capacity for Health
Influence policy and action
Reach new set of organisations
and people
15

16. Implications for local CVD prevention –
Food and Nutrition policies
•Improve the diet of children and
young people
•Tackle take-away food
•Improve food procurement
•Improve training for catering
managers
•Improve knowledge of local diets
•Continue to advocate for
appropriate national policies and
regulation to support local food and
nutrition policies
Regional CVD prevention

17. Implications for local CVD prevention –
Tobacco control policies
•Restrict the supply of tobacco and
tobacco products to children and young
people
•Tackle illicit tobacco
•Develop capacity to support smoke free
policies in settings e.g. mental health
organisations
•Continue to advocate for appropriate
national policies and regulation to
support local tobacco control policies
Regional CVD prevention

18. Implications for local CVD prevention –
Physical activity policies
•The physical environment should
encourage people to be physically active
•Local transport plans should promote
walking and cycling and active transport
•Focus on the needs of children and young
people
•Encourage sports stadia and local clubs to
be health promoting
•Continue to advocate for appropriate
national policies and regulation to support
local policies promoting physical activity
Regional CVD prevention

19. Costs and savings
per 200,000 population
High Low
deprivation deprivation
Over a 5 year period region region
Number of CVD events (aged 40 yrs+) 16,270 14,140
Current costs (£ million)* 75.10 65.20
Cost of implementation (£ million)
0.236 0.236
regional programme recommendations
Savings (£ million)
0.420 0.341
arising from regional programme recommendations
* Costs and savings related to CVD events in this table apply
to a population aged 40 years and over.

20. A COMPREHENSIVE APPROACH TO CVD (NCD) PREVENTION
Advocacy
Delivery Research
AN INTEGRATED SERVICE

21. Regional CVD prevention
Thank you
robin.ireland@heartofmersey.org.uk