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Cardiovascular Disease

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

NHS Right Care: Cardiovascular Disease (CVD) 
NHS RightCare data and evidence provides a set of resource to support systems to concentrate their improvement efforts where there is greatest opportunity to address variation and improve population health.

  • In 2019/20 NHS RightCare has received national clinical support and regional agreement to deliver National Priority Initiatives on Cardiovascular Disease (CVD) prevention and respiratory disease. Both are national clinical priorities, reflected in the NHS Long Term Plan, and both have clear opportunities for improvement in spend and patient outcomes.
  • The Atrial Fibrillation High Impact Intervention Tool is an interactive dashboard that aims to support local health systems to measure the value of identifying and treating patients with Atrial Fibrillation (AF), including the impact of screening and treatment-based interventions. Atrial Fibrillation High Impact Intervention Tool

  • NHS RightCare data packs are produced at system level. As many health conditions are linked to demographic factors such as deprivation and age, they compare systems to their closest demographically similar geographies. This information offers a triangulation of nationally-held data intended to help local systems ensure their plans focus on opportunities which have the potential to provide the greatest improvements. Where to look packs

  • Focus packs provide more detailed information and include a wider range of outcome measures and information on the most common procedures and diagnoses for the condition in question. CVD Focus pack

  • NHS RightCare Pathways aim to provide a set of resources to support systems to concentrate their improvement efforts on where there is greatest opportunity to address variation and improve population health.

Key findings from pr
evious 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)