Stroke & Cardiovascular Disease JSNA

Evidence base

This section provides links and a brief summary of a robust evidence base. For example, peer-reviewd studies, systematic revies, evaluations of interventions and best practice guidelines from national sources.

Issue number 1 = highest priority
1	Source	Public Health England
	Title incl. web link	Health matters: preventing cardiovascular disease Health matters: preventing cardiovascular disease - GOV.UK
	Summary	The NHS Long Term Plan aims to prevent 150,000 strokes, heart attacks and dementia cases over the next 10 years by improving detection and treatment of high-risk conditions; Atrial Fibrillation, hypertension and high cholesterol. The National CVD Prevention System Leadership Forum (CVDSLF) has agreed specific ambitions for the detection of the high risk conditions known as ‘ABC’: atrial fibrillation, blood pressure, cholesterol. The Health Matters guidance acknowledges that CVD is one of the conditions most strongly associated with health inequalities. If an individual lives in England’s most deprived areas, they are almost 4 times more likely to die prematurely than an individual in the least deprived.
	Source	British Journal of General Practice
	Title incl. web link	Cardiovascular disease – risk assessment and reduction: NICE 2023 update for GPs Cardiovascular disease — risk assessment and reduction: NICE 2023 update for GPs \| British Journal of General Practice
	Summary	NICE NG238 (2023 update) recommends: Using QRISK3 for 10-year CVD risk assessment. Considering statins for people aged ≥85 years. Emphasising lifetime risk and shared decision-making for lipid management.
2	Source	Public Health England
	Title incl. web link	Health matters: preventing cardiovascular disease Health matters: preventing cardiovascular disease - GOV.UK
	Summary	Outlines modifiable risk factors (smoking, inactivity, poor diet and alcohol) and highlights the need for targeted prevention in deprived communities.
	Source	NICE Guidance
	Title incl. web link	Cardiovascular disease prevention Overview \| Cardiovascular disease prevention \| Guidance \| NICE
	Summary	Focuses on reducing risk factors like poor diet, inactivity, smoking and alcohol consumption. It recommends local strategies follow 6 recommendations for a comprehensive regional and local CVD prevention program.
3	Source	NHS
	Title incl. web link	Increasing uptake of NHS Health Checks in priority at-risk groups Increasing uptake of NHS Health Checks in priority at-risk groups - NHS Cheshire and Merseyside
	Summary	Core20PLUS5 funding enabled pilots in Cheshire and Merseyside targeting deprived communities, minoritised ethnic groups and people with SMI and alcohol misuse. Successful strategies included evening/weekend appointments; outreach in community venues; point-of-care testing (POCT); training voluntary sector partners; and bespoke dashboards to prioritise invites by deprivation / ethnicity.
	Source	NHS Health Check Online
	Title incl. web link	Evidence NHS Health Check - Evidence
	Summary	Recommendations include launching a digital offer, starting checks at a younger age, and targeting high-risk groups more effectively.