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