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Puttingpreventionfirst
Vascular Checks:risk assessment andmanagement
DH INFORMATION READER BOXPolicy
EstatesHR/Workorce CommissioningManagement IM&TPlanning FinanceClinical Social Care/Partnership Working
Document purpose
Consultation/Discussion
Gateway Reference
9679
Title
Putting Prevention First. Vascular checks: risk assessment and management
Author
Vascular programme
Publication date
01 Apr 2008
Target audience
PCT CEs, SHA CEs, Care Trust CEs, Medical Directors, Directors o Nursing,Local Authority CEs, GPs
Circulation list
Directors o PH, Directors o Adult SSs, PCT PEC Chairs, Directors o HR,Directors o Finance
Description
An announcement outlining proposals or a system o vascular checks to becarried out in primary care. This document includes initial results o modellingwork around a ‘predict and prevent’ approach to identiy vulnerability tovascular diseases – heart disease, stroke, diabetes and kidney disease.
Cross ref
Vascular programme briefng pack (April 2007)
Superseded docs
N/A
Action required
N/A
Timing
N/A
Contact Details
Vascular ProgrammeDepartment o HealthWellington House133–155 Waterloo RoadLondonSE1 6QFwww.dh.gov.uk/publications
For recipient’s use
Secretary of State foreword
The Prime Minister set out his vision or the NHS earlier this year: amore personal service supporting people to stay well and maintaingood health. It placed individuals centre-stage, engaged and takinggreater control over their own health.Moving rom an NHS ocussing predominantly on treatment andcure to one that looks frst to prevention is a challenge – but it isone that we are determined to address in this 60th anniversary year o the NHS.Over the past decade, we have made signifcant improvements to the treatmento vascular disease through the National Service Frameworks on coronary heartdisease, renal services and diabetes. We have seen a 40% reduction in deaths romcardiovascular disease in people under 75 since 1996, but it remains a major cause odisability and poor health.We now need to ocus more eort on how we can prevent vascular diseases –coronary heart disease, stroke, diabetes, and kidney disease – earlier in lie, so thatpeople can make inormed choices about how taking control can improve their healthand help them live longer and healthier lives. Today we are publishing the resultso detailed clinical modelling. These will orm the basis o our proposals to create auniversal risk assessment and management programme. For all o us who care aboutpreventing illness and saving lives, these results are very promising and confrm thatsuch a programme, or those aged between 40 and 74, will be both clinically andcost eective. They confrm that through this approach we can save and improvethousands o lives each year.This document explains in more detail what vascular disease is, why vascular riskassessments are important and how they will work in England. It also calls or our stakeholders to work with us to help develop our approach to implementation anddelivery over the next ew months. There are huge gains to be made i we get thisright – improving the quality and duration o lie or thousands o people. Only byworking together with our key partners can we develop a system that delivers all othe real and lasting benefts to the public that this programme oers.Alan JohnsonSecretary o State or Health
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