Cardiovascular Disease

CVD – THE WIRRAL PICTURE: Identifying and supporting people most at risk of dying early (October 2023)
Presentation and overview of populations and residents at risk of premature mortality linked to a range of health inequalities

Latest local reports produced by PHE 
These fingertip PHE reports cover Stroke, Heart Disease, Diabetes and Kidney Disease

NHS Right Care Toolkits 

RightCare toolkits support systems to understand the priorities within a given topic area and recommend the key actions to take to deliver change locally. They provide an opportunity to self-assess and benchmark current systems’ service delivery and to explore opportunities for improvement.

For each topic, RightCare toolkits aim to provide health systems with:

• a high-level overarching national case for change

• priorities for improvement and key high impact interventions along a pathway

• underpinning guidance and evidence

• implementation resources to help make change on the ground

• a self-assessment tool to review a systems’ readiness for change

By focussing on doing the right thing, and doing it consistently for the right people, the Toolkits support improving population health and making optimal use of our collective investment in the health of our population.

• Stroke toolkit: August 2022

• Community rehabilitation toolkit: March 2020

• Epilepsy toolkit: February 2020

• Headache and migraine toolkit: December 2019

• Neurological conditions toolkit: August 2019

• Frailty toolkit: June 2019

• Physical ill-health and cardiovascular disease prevention in people with severe mental illness: March 2019

• Chronic obstructive pulmonary disease (COPD) pathway: December 2017

• Falls and fragility fractures pathway: September 2017

• Diabetes pathway: June 2017

• Cardiovascular disease prevention pathway: November 2016

Key findings from previous content (Published as Health & Wellbeing Chapter in May 2013)

• The gap in life expectancy between Wirral and England continued to widen in 2008-10. Amongst women in Wirral, life expectancy has actually decreased slightly for the last two time periods recorded (2007-09 and 2008-10)
  

• The gap in life expectancy between the most and least affluent within Wirral was 14.6 years for men and 9.7 years for women (Marmot Indicators, 2012) 
  

• The Marmot Indicators (2012) also showed that Wirral had the largest gap in Disability Free Life Expectancy (DFLE) for males and females of any authority in England (20.0 years for men, 17.1 years for women) 
  

• The main contributors to the gap in life expectancy between Wirral and England was chronic liver disease for men and lung cancer for women 
  

• Mortality from chronic liver disease (in both the under 75s and those of all ages) in Wirral men is higher than England. The main contributor to liver disease is alcohol 
  

• In 2011, it was estimated that there were around 4,100 people in Wirral with undiagnosed Coronary Heart Disease (CHD), 35,500 with undiagnosed hypertension and 2,800 with undiagnosed diabetes
  

• Mortality from cardiovascular disease (CVD) amongst Wirral women has been increasing since 2007, whilst mortality from this cause has been falling amongst women in England over the same period 
  

• Estimates suggest that the number of people in Wirral surviving a stroke and heart attack who are left with a longstanding health condition as a result will rise by a third by 2030, with significant implications for health and social care services
  

• Lung cancer had the highest mortality rates of the four main cancers (lung, breast, colorectal and prostate) in England, the North West and Wirral. Rates in Wirral were very similar to England and the North West in 2008-10 (slightly lower)
  

• Mortality rates from breast, colorectal (women only) and prostate cancer in Wirral in 2008-10 however, were higher than England and the North West
  

• Wirral did not reach the 80% target coverage for cervical cancer screening in 2010-11. This downward trend has been observed both nationally and locally
  

• Wirral did not reach the bowel cancer screening target of 60%; coverage was 53% in 2010-11
  

• Efforts to increase the number of people able to die at home (most people’s preference) have been successful for cancer, increasing in Wirral from 20% in 2002, to 30% in 2010. Only 20% of people dying from other causes however, died at home in 2010, an increase of around 2% since 2002
  

• Rates of mortality from accidental injury and poisoning was higher in Wirral in 2008-10 than England and the North-West
  

• The single biggest cause of non-elective (emergency) admissions in Wirral patients in 2010-11 was pregnancy related conditions. These were mainly short stay and so did not account for the most bed days, or excess costs. These admissions equated to almost three emergency admissions for every baby born in Wirral in the same year. Circulatory conditions and injuries/poisonings accounted for the most bed days and therefore costs
  

Health & Wellbeing in Wirral (Updated May 2013)