Dudley Strategy for Tackling Health Inequalities 2010-15

APPENDIX 2 – DELIVERY PLANS FOR PRIORITY ACTIONSPRIORITY AREA: CVD SECONDARY PREVENTION IN THE PRIMARY CARE SETTING DELIVERY PLANRECOMMENDATION ACTIVITY OUTCOMES LEAD TIMESCALEImprove variation in performanceacross practices for treatment,access and outcomes- ensuringoptimum use of vascular diseaseregisters to manage chronicdiseaseReduce the gaps between actualand expected prevalence for thekey vascular diseasesPrimary care services shouldbuild health equity assessmentinto routine auditIncrease referrals to & outcomesfrom Lifestyle Risk ManagementServicesQOF indicators for blood pressure,cholesterol and blood sugar management,and cardio-protective prescribing to beinvestigated for practice outliers,– startingwith blood pressureDevelop and implement a self-carestrategyImplementation of NHS health checksprogramme ensuring high uptake frommen, BME communities, deprived areasInvestigate practice outliers with lowlevels of prevalence for CHD and strokeregistersInclude in primary care and communityservice contractsImplementation of IBA ( identification,brief advice and referral) for lifestyleissuesImprove Stop Smoking Service outcomesfor people from deprived areas - viatargeted stop smoking clinicsImproved management ofvascular long-term conditionsImproved health outcomes forpeople with long term conditionsReduction in CVDReduction in CVDImproved management ofvascular long-term conditionsEquity considered as part ofservice deliveryIncrease in numbers receivingearly interventions contributing toa reduction in mortality fromsmoking and alcohol relatedcausesReduction in smoking prevalencePublic HealthShelagh ClearyPublic HealthDiane McNultyPublic HealthKaren JacksonPublic HealthShelagh ClearyPrimary Care &communityCommissioning/ContractingPublic HealthDMcNulty/KJacksonPublic HealthRuth OldingMarch 2011March 2011March 2013March 2011March 2012March 2012March 2011219