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Dr Shahed Ahmad
Medical Director
NHS England (South Central)
CVD prevention
28 September 2017
• Welcome to Reading
• The Thames Valley, and our potential
• Medical Directorate’s interest in CVD prevention
• Personal lessons learnt
• Hopes for today
Welcome to Reading Physical connectivity
Birmingham
Southampton
Reading
Oxford
London Bristol
Heathrow
Gloucester
JFK speech: Reach for the moon
Reach for the moon
The potential of Thames Valley: Diabetes case study (there are many others)
• Bucks No 1 for glucose control nationally
• Slough No 1 in South and No 3 nationally for BP control
• Oxfordshire. Robust processes put in place
• Some of the best leadership anywhere
• ? Scope for further improvement?
• Lesson to be learnt from diabetes for other areas of CVD prevention and management
Medical Directorate
• January and June 2017 conferences
Diabetes
Dr Nithya Nanda GP Partner Slough CCG Diabetes & Cardiology Lead and East Berkshire Diabetes Lead
Berkshire Wave 1 NHS Diabetes Prevention Program
http://tvscn.nhs.uk/wp-content/uploads/2017/01/06-Berkshire-Wave-1-NHS-Diabetes-Prevention.pdf
Dr Kathy Hoffmann Buckinghamshire CCGs Diabetes Clinical Lead
Diabetes in Buckinghamshire
http://tvscn.nhs.uk/wp-content/uploads/2017/06/06-Kathy-Hoffman.pdf
Smoking
Dan Hunt Policy Advisor Cancer Research UK
Smoking Services: effectiveness and the state of play in England http://tvscn.nhs.uk/wp-content/uploads/2017/01/10-Effectiveness-of-Stop-Smoking-Services.pdf
Dr Sanjay Agrawal Consultant in Respiratory & Intensive Care Medicine University Hospitals of Leicester Making a million opportunities count http://tvscn.nhs.uk/wp-content/uploads/2017/06/44-Sanjay-Agrawal.pdf /
Atrial fibrillation Professor Gary Ford,CBE Chief Executive Officer, Oxford AHSN Consultant Stroke Physician, Oxford University Hospitals NHS Foundation Trust
Tackling atrial fibrillation – the health economics evidence http://tvscn.nhs.uk/wp-content/uploads/2017/01/23-Tackling-Atrial-Fibrillation-The-Health-Economics-Evidence.pdf
Hannah Oatley, Clinical Innovation Adoption Manager, Oxford AHSN
Collaborative working to deliver Improvements in Atrial Fibrillation. http://tvscn.nhs.uk/wp-content/uploads/2017/06/03-Hannah-Oatley.pdfe-Health-Economics-Evidence.pdf
Elizabeth Beech Pharmacist
NHS Bath and North East Somerset CCG
National Project Lead Healthcare Acquired
Infection and Antimicrobial Resistance, NHS Improvement
Stroke prevention in people with AF – Improving primary care use of oral anticoagulation in Bath & North East Somerset through pharmacist led use of GRASP-AF audit
http://tvscn.nhs.uk/wp-content/uploads/2017/01/24-Atrial-Fibrillation-Audit-and-Role-of-Practice-Based-Pharmacist.pdf
Matt Kearney
Dr Matt Kearney GP and National Clinical Director for
Cardiovascular Disease Prevention
NHS England and Public Health England
Getting serious about CVD prevention; What does this mean for primary care? http://tvscn.nhs.uk/wp-content/uploads/2017/01/03-Matt-Kearney-Reading-CVD-to-share-17-Jan-2017x.pdf
Hypertension How can we do better at preventing strokes and heart attacks?
http://tvscn.nhs.uk/wp-content/uploads/2017/06/05-Matt-Kearney.pdf
Talking to other areas Dr Jackie Davidson Assistant Director of Public Health at Royal Borough of Greenwich
A historical perspective of CVD prevention in Greenwich
http://tvscn.nhs.uk/wp-content/uploads/2017/01/15-Cardiovascular-Disease-Prevention.pdf
Dr Vinod Patel Associate Professor in Clinical Skills at University of Warwick Medical School, Honorary Consultant Physician in Endocrinology ,Diabetes, Acute Medicine and Medical Obstetrics, George Eliot Hospital NHS Trust
Management of Diabetes to prevent Complications and Costs
http://tvscn.nhs.uk/tvscn-conference/tvscn-conference-2017-presentations/
Dr John Robson Reader, Centre for Primary Care and Public Health, Queen Mary University of London, GP and Tower Hamlets CCG CVD lead and QMUL Clinical Effectiveness Group lead
Our learning health system
http://tvscn.nhs.uk/wp-content/uploads/2017/01/13-Development-of-the-Beginnings-of-an-Effective-Learning-Health-System.pdf
Turning research into practice
Professor Susan Jebb Professor of Diet and Population Health Nuffield Department of Primary Care Health Sciences University of Oxford
Weight management in primary care http://tvscn.nhs.uk/wp-content/uploads/2017/01/20-Weight-Management-in-Primary-Care.pdf
Brief interventions for weight management in primary care http://tvscn.nhs.uk/wp-content/uploads/2017/01/20-Weight-Management-in-Primary-Care.pdf
Weight loss and improved health outcomes – webinar (TVSCN & Susan Jebb) http://tvscn.nhs.uk/wp-content/uploads/2017/01/20-Weight-Management-in-Primary-Care.pdf
Personal Lessons
• Newham 2005
• Importance of leadership of stop smoking coordinator
• Level 5 leadership
Support
Feeding back data Celebrating good results
London Hypertension Leadership Group
• Teamwork: CPHs, Pharmacists, HEE, PHE, GP
• Epidemiological skills: WM, MY, GW
• Communicating effectively
• Saving lives, Saving money
• Presenting the data: Identifying numbers
• Inspiring Vision
• Powerful patient story at workshop
Today
• Lucky to have a great group of delegates in the room today
• Inspiring and knowledgeable speakers
• Showcasing excellence
• Lots of time for discussion and planning
Conclusion: The sky is the limit
• We can achieve anything we put our minds to and we can be the best in the world
• We know the case for change
• We have the information and resources we need
• Today is about planning how we deliver
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