Press release: New ROI tool shows best ways to prevent cardiovascular disease

MoD_RSS

War Hero
Public Health England (PHE) has launched a new return on investment (ROI) tool to help local commissioners decide the best approach to preventing cardiovascular disease (CVD) within their populations.

CVD costs the NHS £7.4 billion each year and is one of the leading causes of death and disability in England, with deprived communities at greatest risk. Reducing the burden of CVD on local populations is an important step to helping people stay in work, boosting the local economy and lowering the future demand on health and social care settings.

The majority of CVD is preventable through identifying and managing risk earlier. The ROI tool shows the health and cost impacts of using different interventions to treat people at high risk of CVD, helping commissioners decide how their budget is best spent to improve local health outcomes. It also shows the effectiveness of different approaches to detecting and managing people with high risk conditions.

Professor Jamie Waterall, National Lead for Cardiovascular Disease Prevention at Public Health England, said:


We’re seeing the number of people with long-term conditions, such as diabetes, continue to rise which means prevention should be high on the agenda for the NHS. That is why this new tool is hugely useful in helping decision-makers make better choices about CVD prevention, based on the best evidence of what works. It will help commissioners plan effective CVD prevention strategies and make the most of their budgets to help more people live healthier, longer lives.

The ROI tool is the latest from PHE’s health economists underlining why investment in prevention is important to both the long term health of the population and the long term sustainability of the NHS. Assessments can be made at national, local authority, clinical commissioning group, or sustainability and transformation partnerships level.

Publication of the ROI tool coincides with a new Global Burden of Disease study highlighting the importance of national and local policies targeting prevention to tackle premature mortality. The study supports calls for renewed efforts to run systematic programmes to reduce chronic disease risk factors, including high blood pressure and high cholesterol.

The ROI tool lets users see predicted impacts of different interventions in terms of costs saved and the number of CVD events and premature deaths prevented. Analysis shows that optimising the use of statins and hypertensives could bring some of the most considerable cost-savings. The tool also highlights the importance of identifying risk earlier, with the earlier identification of diabetes predicted to provide the highest long-term benefits in terms of CVD events prevented and costs saved.

PHE commissioned the University of Sheffield to develop the tool, following an evidence review and in consultation with an expert steering group.

Dr. Matt Kearney, GP and National Clinical Director for Cardiovascular Disease Prevention at NHS England, said:


Heart attacks and strokes are life-changing events for sufferers and their families, and the NHS long term plan will set out a strategy for cardiovascular disease prevention and care. Thankfully these conditions are highly preventable and minimising their impact is not just good for patients but also benefits taxpayers who fund the NHS.

This return on investment tool will show health professionals in each part of the country how heart problems and strokes could be prevented, and how much health service resource could be freed up for reinvestment if we increase detection and treatment of high-risk conditions like atrial fibrillation, high blood pressure and high cholesterol.

Professor Brian Ferguson, Chief Economist at Public Health England, said:


This is a great addition to the suite of tools we’ve produced to support commissioners in local systems. It’s the first one that allows users to consider combinations of interventions, and so better reflects the reality of complex care needs. The results demonstrate that investing at scale in the most cost-effective preventative activities can deliver significant health benefits.

The tool and the accompanying report can be accessed online.

Commissioners can read further PHE advice on how to make the most of their budgets.

To find out more about the CVD ROI tool contact PHE’s Health Economics team.

Background


  1. Interventions were chosen for inclusion in the tool if they were recommended by NICE for individuals without pre-existing CVD and if there was high quality and recent effectiveness evidence available. Selected detection interventions included NHS Health Checks, annual review in people with a pre-existing condition, cascade testing for FH and opportunistic detection. Selected management interventions included pharmacological interventions (antihypertensives, lipid modification therapy, anticoagulants and blood glucose lowering), lifestyle interventions (NHS diabetes prevention programme (DPP), diabetes structured education, weight management, smoking cessation, nutritional advice for CKD) and interventions that improve adherence to pharmacological interventions (blood pressure self-monitoring, insulin pump and medicines use review). A series of additional reviews were carried out to inform other intervention parameters including costs and duration of effect.


  2. The tool was developed with input from a tool user group who provided information about local priorities for CVD and their requirements for a CVD prevention ROI tool. The tool design enables users to see the potential benefits of either improving detection and/or management of one or more high-risk conditions, or of improving the usage of one or more of the key interventions for people at risk of CVD. The tool is designed to include both the direct costs and benefits of implementing chosen scenarios and the indirect consequences, for example the increased cost of management that will occur as a response to increased diagnosis of high risk conditions.


  3. The University of Sheffield developed the ROI tool based on a modification of an existing type 2 diabetes prevention model (The School for Public Health Research (SPHR) Diabetes Prevention Model), which has been previously used as the basis of a PHE tool to model the ROI of the NHS Diabetes Prevention Programme.


  4. The tool includes demographic information about local populations, so that the outcomes are area-specific. Users can select localities of interest from the full range of CCGs, STPs and local authorities in England, or for the whole of England.


  5. Primary prevention of CVD is not considered by the tool. However there is the functionality for users to assess the impact of additional interventions that are happening in their local area if they have information on effectiveness of the intervention.


  6. Uncertainty analysis is not included in the tool, but it is important to note that there will be some uncertainty around estimates.


  7. The tool lets users see the benefits of interventions around 6 CVD high risk conditions, identified by the NHS RightCare Optimal Pathway as currently underdiagnosed and insufficiently managed despite a range of available interventions, and therefore representing targets for improvement:
  • high blood pressure
  • atrial fibrillation (AF)
  • high cholesterol/high CVD risk including familial hypercholesterolemia (FH)
  • diabetes (type 2 and type 1)
  • non-diabetic hyperglycaemia
  • chronic kidney disease (CKD)
Public Health England press office


Email phe-pressoffic[email protected]

Telephone 020 7654 8400

Out of hours telephone 020 8200 4400

Continue reading...
 
Thread starter Similar threads Forum Replies Date
MoD_RSS Statistical press release: Digest of UK Energy Statistics 2020 MoD News 0
MoD_RSS UK energy statistics: statistical press release - June 2020 MoD News 0
MoD_RSS UK energy statistics: statistical press release - March 2020 MoD News 0
MoD_RSS FCO press release: Change of Her Majesty’s Ambassador to Morocco - September 2020 MoD News 0
MoD_RSS FCO press release: Change of British High Commissioner to India - Spring 2020 MoD News 0
MoD_RSS FCO press release: Change of Her Majesty’s Ambassador to the Republic of Niger - March 2020 MoD News 0
MoD_RSS FCO press release: Change of British High Commissioner to Tonga - February 2020 MoD News 0
MoD_RSS Press Release: UKin...Pavia MoD News 0
MoD_RSS UK energy statistics: statistical press release - December 2019 MoD News 0
MoD_RSS UK energy statistics: statistical press release - September 2019 MoD News 0
MoD_RSS Statistical press release: Digest of UK Energy Statistics 2019 MoD News 0
MoD_RSS Press release: Traineeships help young people to access jobs and further study MoD News 0
MoD_RSS Press release: UK House Price Index for April 2019 MoD News 0
MoD_RSS Press release: Insurance fraud lands boss 12-year bankruptcy restrictions MoD News 0
MoD_RSS Press release: Broad new measures to ensure small businesses get paid on time MoD News 0
MoD_RSS Press release: Young engineer Ahmed takes national title MoD News 0
MoD_RSS Press release: PM Theresa May: we will end UK contribution to climate change by 2050 MoD News 0
MoD_RSS Press release: Rural sports clubs, schools and churches to go green thanks to £10 million Clean Energy Fund MoD News 0
MoD_RSS Press release: Thousands of farmers in stewardship agreements to be paid in July MoD News 0
MoD_RSS Press release: UK and Colombia mark new climate partnership with £8.5 million investment MoD News 0
MoD_RSS Press release: Record number of schoolgirls make digital waves but women still under-represented in the cyber security sector MoD News 0
MoD_RSS Press release: Joint Intelligence Committee Chair appointed: Sir Simon Gass MoD News 0
MoD_RSS Press release: UK and Indonesia agree to deepen partnership MoD News 0
MoD_RSS Press release: Big wins for British businesses as Vice Premier Hu Chunhua visits MoD News 0
MoD_RSS Press release: Lord Ahmad visits Bosnia and Herzegovina to mark the UN’s Day for Elimination of Sexual Violence in Conflict MoD News 0
MoD_RSS Press release: UK aid funds world’s biggest educational technology research project MoD News 0
MoD_RSS Press release: New Chair appointed to the Royal Botanic Gardens Kew Board MoD News 0
MoD_RSS Press release: Suppliers of antidepressants accused of illegal anti-competitive conduct MoD News 0
MoD_RSS Press release: Change of Her Majesty’s Ambassador to Sweden - August 2019 MoD News 0
MoD_RSS Press release: New housing statistics show increase in affordable homes MoD News 0
MoD_RSS Press release: Israeli space tech firm hiSky expands to the UK MoD News 0
MoD_RSS Press release: New powers to fine firms that exploit consumer loyalty MoD News 0
MoD_RSS Press release: Review finds family ties 'utterly indispensable' to rehabilitation of female offenders MoD News 0
MoD_RSS Press release: Education Secretary confirms T Level roll-out from September 2020 MoD News 0
MoD_RSS Press release: PM and Chancellor meeting with Chinese Vice Premier Hu: 17 June 2019 MoD News 0
MoD_RSS Press release: £230M boost for British beef as China agrees market access MoD News 0
MoD_RSS Press release: APPOINTMENTS TO THE EQUALITY COMMISSION FOR NORTHERN IRELAND MoD News 0
MoD_RSS Press release: Measures to end unequal mental health treatment kickstarted by PM MoD News 0
MoD_RSS Press release: APPOINTMENTS TO THE EQUALITY COMMISSION FOR NORTHERN IRELAND MoD News 0
MoD_RSS Press release: Big wins for British businesses as Vice Premier Hu Chunhua visits MoD News 0
MoD_RSS Press release: Lift off for new investment in UK SMEs to develop new aerospace technology MoD News 0
MoD_RSS Press release: Lord Ahmad visits Serbia to promote Preventing Sexual Violence in Conflict campaign MoD News 0
MoD_RSS Press release: PM's meeting with the President of Afghanistan: 17 June 2019 MoD News 0
MoD_RSS Press release: PM's meeting with the President of Colombia: 17 June 2019 MoD News 0
MoD_RSS Press release: Northern healthcare firms target new opportunities in Africa MoD News 0
MoD_RSS Press release: £230M boost for British beef as China agrees market access MoD News 0
MoD_RSS Press release: One of a kind Victorian ceramic crab at risk of export MoD News 0
MoD_RSS Press release: Buckingham Group Contracting appointed to deliver Chipping Warden relief road MoD News 0
MoD_RSS Press release: Updated plans for Stockbury roundabout transformation revealed MoD News 0
MoD_RSS Press release: Exmouth tidal defence scheme exhibition - save the date MoD News 0
Similar threads


















































Latest Threads

Top