Stroke & Cardiovascular Disease JSNA

What needs to be done and why?

There is a need to anticipate the future demand of CVD in our ageing population.
Early detection and treatment of CVD alongside the management of co-morbidities is needed.
Encourage older people and those at-risk to attend GP surgeries or community clinics to detect conditions known as ‘ABC’ and use tools such as QRISK3 for 10-year CVD risk assessment to anticipate future demand.
Local intelligence including data monitoring and evaluation should be prioritised to measure impact and ensure interventions are appropriately targeted.

Due to an ageing population, future demand on services is likely to be high. The Projecting Older People Population Information System predicts that CVD will increase between 2023 and 2030 by 14.62% and by 28.45% by 2040 (from 2023 to 2040) in Hartlepool.
Stroke prevalence in Hartlepool is below the regional average however the under 75 mortality rate has increased over recent years and there is a strong link between deprivation and stroke risk.

Targeted intervention in areas of high deprivation which include community-wide behaviour change programmes, accessible physical activity and smoking cessation support.
Community Health MOTs such as provided by the North East Ambulance Service can target at-risk areas by eliminating the factor of travelling to GP surgeries.
Promotion should be accessible, inclusive and literacy-sensitive to ensure it is tailored to the health literacy level of the targeted group.
Where possible intervention should be gender-tailored as men are at greater risk of developing CVD however women are at greater risk of poor outcomes.
Advertising and supporting charities including Heart Support North Tees and Hartlepool which offer exercise and relaxation classes with Heart Health at its focus.
Local intelligence including data monitoring and evaluation should be prioritised to measure impact and ensure interventions are appropriately targeted.

There are high rates of admissions for coronary heart disease and stroke which suggests a need for earlier intervention to prevent hospital admission.
High rates of risk factors for CVD (smoking, obesity and physical inactivity) need to be addressed.
Mortality rates in Hartlepool are significantly worse than national averages. Stroke prevalence in Hartlepool is below the regional average however the under 75 mortality rate has increased over recent years and there is a strong link between deprivation and stroke risk.
This follows both Public Health England and NHS guidance on CVD.

Continue to improve NHS Health Check uptake. Successful Core20PLUS5 pilots have found successful strategies to include evening/weekend appointments; outreach in community venues (e.g. NEAS); point-of-care testing; and training voluntary sector partners.
Community engagement, GP outreach and integrations with other services to ensure at-risk groups are receiving health checks, e.g. those with severe mental illness.
NHS Health Checks provide an opportunity to improve health literacy. Promotion should be accessible, inclusive and literacy-sensitive to ensure it is tailored to the health literacy level of the targeted group.
Local intelligence including data monitoring and evaluation should be prioritised to measure impact and ensure interventions are appropriately targeted. Successful Core20PLUS5 have found successful strategies to include bespoke dashboards to prioritise invites by deprivation / ethnicity.

Stroke prevalence in Hartlepool is below the regional average however the under 75 mortality rate has increased over recent years and there is a strong link between deprivation and stroke risk.
NEAS run community health MOTs which target areas of deprivation to improve uptake of Health Checks which has proved successful.