Vascular Risk in Bromley Michaela Nuttall CHD Co-ordinator.
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Transcript of Vascular Risk in Bromley Michaela Nuttall CHD Co-ordinator.
Vascular Risk in
Bromley
Michaela NuttallCHD Co-ordinator
The world of MNs…
Easily available, cheap, energy dense foods!
Physical Inactivity
Putting prevention first
• People between the ages of 40 and 74 will be offered vascular checks: risk assessment and management
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 12% 17% 22% 27%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes
CVD Risk 13%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
CVD Risk 13%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
CVD Risk 13% 17%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped
CVD Risk 13% 17%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped
CVD Risk 13% 17% 14%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped Stayed stopped
CVD Risk 13% 17% 14%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped Stayed stopped
CVD Risk 13% 17% 14% 18%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped Stayed stopped
Stillstopped
CVD Risk 13% 17% 14% 18%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped Stayed stopped
Stillstopped
CVD Risk 13% 17% 14% 18% 22%
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped Stayed stopped
Stillstopped
CVD Risk 13% 17% 14% 18% 22%
But what if he increased activity and changed diet?His blood pressure is now 130/80 and ratio 4.8
Why bother ?
Risk Progression
Age 40 yrs 45yrs 50 yrs 55 yrs 60 yrs
Smoke Smokes Smokes Smokes Smokes Smokes
BP 140/80 140/80 140/80 140/80 140/80
Ratio 5.8 5.8 5.8 5.8 5.8
CVD Risk 13% 17% 22% 27% 32%
Effective Vascular Programme
Smoke Smokes Decides to stop
Stopped Stayed stopped
Stillstopped
CVD Risk 13% 17% 14% 18% 22%
But what if he increased activity and changed diet?His blood pressure is now 130/80 and ratio 4.8 16%
National Local
• Call / Recall
• Risk Tool
• Core data set
• Pulse
• Social Marketing
• GP data
• Bromley population
• Up to 8 different Read codes being used
• Touch!
• Local perspective
Current Activity
Current Activity
• Public health vascular nurse
• CVD Audit
• Pilots in hard to reach areas
• Testing of social marketing
Ethics & Consent
So where are we now?
• Waiting for outputs from annual CVD audit
• Work with practices to develop CVD risk registers further
• Range of options
