Croydon heart-town-nhs-health-check-presentation

Croydon Heart Town & the NHS Health

Check programme

Bevoly FearonHealth Improvement ManagerCroydon Council 020 8726 600Tel: Ext: 61835

Mob: 07436283466 [email protected]

http://www.croydon.gov.uk/healthsocial/phealth/heart-town

Better health for Croydon

Pharmacy Health Champions

30th April 2014

Croydon’s Population

Croydon has a population of 369,000, which is likely to grow to >395,000 by 2021 based on recent trends.

The highest growth in the next decade is expected to be in age groups 0 to 14, 30 to 39 and over 55s.

Increasing deprivationIn recent years, Croydon has been growing more deprived at a faster rate than any other south London borough.

Red = increase in deprivation over timeBlue = decrease in deprivation over time

Determinants of health

What is the Heart Town?

Partnership between British Heart Foundation and Croydon Council

Goals• raise levels of public awareness of heart

disease• provide education, advice and support to

prevent heart disease• activate and involve business and the

community in fundraising

Why have a Heart Town?

o Heart & circulatory diseases, such as stroke, are amongst the commonest causes of avoidable death in the UK

o Along with cancers and respiratory diseases they are the most significant drivers of health inequalities

o In 2011, the leading cause of avoidable deaths was heart disease in males and lung cancer in females

o 43,000 people die prematurely in UK from heart and circulatory diseases

• 23% of premature deaths in men

• 14% premature deaths in women

o Many of the modifiable risk factors help prevent other health conditions: e.g. smoking, diet, physical activity, alcohol consumption

Why are heart and circulatory diseases important for ethnic minority communities? (one example of a high risk group)

People of South Asian origin living in the UK have a higher death rate for heart disease

• 46% higher in men

• 51% higher in women

People of African-Caribbean & West Africans have much lower than average death rate for heart disease

• 50% lower in men

• 66% lower in women

But increased stroke death rate

Elements of the Croydon Heart Town programmeo Two key settings

• Schools ([email protected]) • Workplaces ([email protected])

o New adult & children's weight management services

o NHS Health Checks http://www.healthcheck.nhs.uk/

o Cardiology services reviewo Healthy Catering Awardso Heart health reviewo British Heart Foundation fundraising campaign

http://www.bhf.org.uk

NHS Health Checkso National programme established 2009o Croydon programme began 2011o Assesses an individuals risk of heart disease, stroke,

diabetes, kidney disease, dementia & alcohol problemso Targets 40 to 74 year olds (100,000 people in Croydon)o Eligible people offered an NHS Health Check once

every 5 yearso In Croydon currently delivered by 14 pharmacies and 8

GP practices ( 2014/15 increasing providers in pharmacy and GP)

o Risk score of 20% or more referral to GPo Information & lifestyle advice for all

Why are NHS Health Checks important in Croydon?

Estimates• 2,492 people with undiagnosed heart disease• 763 people with undiagnosed stroke or ‘mini

stroke’• 3,459 people with undiagnosed diabetes• 1,783 people with undiagnosed dementia

Many more people are at risk of developing these preventable conditions

NHS Health Check risk assessment

• Age• Gender• Ethnicity• Family history of disease• Smoking status• Level of physical activity• Blood cholesterol• Height, weight, BMI• Blood pressure• Alcohol consumption • Dementia Awareness for 65–74

Modifiable risk factors

• Smoking http://www.solutions4health.co.uk; http://www.croydonhealthservices.nhs.uk/services/Stop_Smoking; http://smokefree.nhs.uk/

• Level of physical activity• Weight www.croydon.gov.uk/exercisereferralscheme/

self referrals 0208 667 8414 or [email protected].

• Blood pressure• Cholesterol level• http://

www.croydon.gov.uk/healthsocial/healthadvice/healthy-living-hub

• Alcohol consumption http://www.croydon.gov.uk/healthsocial/phealth/daservices/directory

Heart Town starts where the NHS Health Check finishes…points for discussion

o What should we be doing to raise awareness of heart and circulatory diseases in Croydon communities?

o How should we provide education, advice and support to prevent heart and circulatory diseases in Croydon?

o Motivational interviewing – right time, right place/behaviour change.

What is already available

• Healthy Living Hub – Monday to Thursday, 11.00 am to 5 pm (open until 6 pm on Mondays) 0208 253 1009/ www.croydon.gov.uk/healthyhub (email: [email protected])

• Info on health and wellbeing/ activities – website, campaigns info from Melissa Vick

• Access to, specialist days eg diabetes, cholesterol testing, quit smoking, BMI, exercise referral scheme, healthy eating advice.

• Opportunity to advertise and refer to various services in Croydon.

What can you do?

• Check back at the pharmacy and ask

• Do we provide health checks?

• If we don’t can we sign up (letters going out to all pharmacies and GPs in May/training commences June.

• If we can’t how can we support the programme for Croydon – signpost to current providers.

• Info packs will be made available. Leaflets currently in print.