National Services for Health Improvement (NSHI)

Cardiovascular Programme

Aims

To understand your needs and priorities for your CVD

services and demonstrate we have the capability, experience

and track record to work in partnership to develop and deliver

a programme to support you achieve your desired outcomes

and leave a legacy for continued management of CVD

Cardiovascular disease

• CVD still remains responsible for approx. a third of deaths in the UK each year.

• In 2011 there were estimated to be nearly 5 million people over the age of 16 living with CVD.

• There are millions of people with undiagnosed risk factors or conditions who are not being managed

• Significant numbers of patients are not receiving optimal management and appropriate ongoing support

• There is considerable variation in the quality of services and outcomes across the country

• Past gains will not be sustained

The Facts – Cardiovascular disease

Coronary Heart Disease Statistic 2012British Heart Foundation

Costs associated with cardiovascular disease

Total costs of CVD, UK (2009)

£ % of total

Direct health care costs 8,680,892 46%Productivity loss due to mortality 4,023,834 21%Productivity loss due to morbidity 2,446,575 13%

Informal care costs 3,797,564 20%

Total18,948,8

65

Context

• Increased Government focus on “the outcomes that matter most to people”

• Evidence based & cost neutral or saving

• Need to create a joined-up approach to CVD across the three outcomes frameworks

• CVD Outcomes Strategy

• Shared implementation

CVD OS Scope and recommendations

“To improve outcomes for people with, or at risk of developing, CVD”

• Manage CVD as a single family of diseases• Improve prevention & risk management• Improving and enhancing case finding in primary care• Better early management and secondary prevention

in the community• Improve acute care• Improve care for patients living with CVD• Improve end of life care for patients with CVD

Implications of CVD OS for Primary CareMany of the actions required to meet the recommendations fall on Primary care services

• CCGs will be required to commission services in line with NICE clinical guidelines

• Implement Integrated CVD Assessment

• Improve identification & management of all CVD conditions in primary care

• Improved & earlier referral to secondary care

• Better care planning

NSHI – Our History & reputation

• Management team designed and delivered services to over 10,000 primary care practices

• Delivered CV and Diabetes services to >3,000 UK practices

• Our work is outcome focussed with an academic driver

• Designed and delivered services to >70% PCTs/CCGs

• All senior management work directly with the NHS

• Outstanding and consistent KPI delivery

• Appreciated for how we manage people

• Long term partner – currently our average retention of nursing contracts is greater than 6 years

Our Nurses

Pharmaceutical Field Awards

Clinical nursing award winners:

201220132014

(This year all three category finalists were from NSHI – representing 3 different teams)

Practice Feedback in relation to service delivery

NSHI – CVD Top line Programme outcomes• Set the foundation for reducing admissions and readmissions• Reduce inappropriate referrals to secondary care• Improve the patient experience• Reduce inequalities of patient management across the locality• Medicines management in line with national and local guidance

and applied uniformly across the CCG locality• Improve the efficiency of service delivery and utilisation of

resource• Increase the uptake of patient health-checks and follow-up• Identification and treatment of undiagnosed and lost-to-follow-

up patients• Developing skills within the primary care teams

Contact the Author

• Adrian Radue• Director CSO

• Office:   01322 312049•  • National Services for Health Improvement Ltd• www.nshi.co.uk • NSHI Ltd

Nucleus@The Bridge London Science and Business Park Brunel Way Dartford Kent DA1 5GA