Ms Maureen CarrollHeart Disease Action Plan Co-ordinator

HEART DISEASE ACTION PLAN

HEART DISEASE in SCOTLAND Coronary Heart Disease and Stroke:

STRATEGY FOR SCOTLAND (2002) Strategy Update 2004: Coronary Heart

Disease and Stroke in Scotland BETTER CORONARY HEART DISEASE AND

STROKE CARE: A CONSULTATION DOCUMENT (2008)

BETTER HEART DISEASE AND STROKE CARE ACTION PLAN (2009) BRAGB Report (March 2011) Heart Disease Action Plan: CHD MCN

Workshop (May 2011) HDAP Monitoring Report (May 2012)

The Tide is Turning:ISD Heart Disease Statistics Update ~ November 2011

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

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Coronary Heart Disease; Ages Under 75; European Age Standardised Mortality Rates per 100,000 Population

Male European Age Standardised Rate of Mortality Male Trend to Target

Female European Age Standardised Rate of Mortality Female Trend to Target

Both Sexes European Age Standardised Rate of Mortality Both Sexes Trend to Target

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Heart Disease Action Plan Prioritisation Workshop: 42 HD Actions 27 HD Actions for MCNs

6 not for MCNs 7 HD Priority Areas from 21 Individual HD Actions1 HD Priority Area proposed by Lead Clinician

1. Promoting Healthy Lifestyle2. Improving Mental Health3. New Definition of AMI / ACS4. Improving Access & Patient Experience of Cardiac

Rehabilitation5. Improving Heart Failure Services6. Improving Management of Patients with Atrial Fibrillation 7. Improving Patient Information8. Improving HD Data Collation

1. Promoting Healthy Lifestyle: MonitoringIncreasing trend towards implementation of

structured Heart Disease Education & Training Strategy

HEART-ERisk FactorsMotivational Interviewing / Behavioural

Change / Brief InterventionSelf-management skills for HCP

Community Pharmacy Involvement (National Level)

2. Improving Mental Health: Implementing Mixed PictureAssessment ToolHEART-E

Brief Psychological Assessment & Interventional Module (NHS A&A)

Self-care Toolkit & Support Plan (NHS FV)

3. New Definition of AMI / ACS: MonitoringWell establishedHEART-E Module requiredConsistency of Patient Pathways across

Regions

4. Cardiac Rehabilitation: MonitoringWell developed – However, Issues of Capacity

& Inequality ↑Telehealthcare Solutions Home Exercise DVD (NHS A&A) Service Redesign Introduction of Wellbeing Techniques

(Mindfulness / Tai Chi)

5. Improving Heart Failure Services: ImplementingMixed picture re Capacity HEART-E ↑Telehealthcare Solutions

6. Atrial Fibrillation: Implementing Mixed picture Resuscitation – Arrhythmias Emergency Life Support – Rural & Island

Communities

7. Improving Patient Information MonitoringWell EstablishedIn place across Scotland

8. Improving HD Data Collation: Implementing Awaiting notification of HD KQIsVariety of solutions across Scotland Healthcare Improvement Scotland & HD

MCN Sub discussions required PROMS

National Developments: Heart Disease Learning ForumHEART-EHeart Disease Action Plan Implementation

Fund Joint Mental Health Project Heart Disease CoP Website Emergency Life Support Framework LTC Physical Activity Scoping Project

Next Steps:Visits November UpdatePatient Engagement Survey (Nov 2012)HD Data Survey (Nov 2012)HD Monitoring Report ~ May 2013New Priorities / Measurement of Success ~

May to Nov 2013HD Learning Forum ~ Nov 2013