Cardiovascular Disease (CVD) Prevention Opportunities Tool


The CVD prevention opportunities tool looks at the current number of people treated in a CCG for a set of defined cardiovascular interventions where two criteria are filled: 
  • there is published evidence on the effect of key interventions over time on a defined cardiovascular outcome. The effect is expressed as numbers needed to treat (NNT)
  • there is local CCG data available where the NNTs can be applied
The current CCG treatment level is compared to a comparator treatment level to give an additional number of people that could be treated. The opportunity is simply the published NNTs applied to this additional treatment number.
 
The tool is currently published using a practice comparator method, which uses the best performing practices within the CCG. The treatment level for the CCG is compared against the treatment levels of a practice which performs at the 75th percentile of the range of all practice treatment levels within the CCG. This method shows the opportunity in shifting the average to top quartile treatment levels found within the CCG. 
 
When looking at this information, CCGs should consider the opportunities possible for them locally to contribute toward national potential opportunities. If all CCGs in England had the same levels of blood pressure control in patients with hypertension at the level of their practices at the 75th percentile, then more than 4,200 strokes, 2,750 heart attacks and 2,200 deaths could be prevented over five years in these patients. If CCGs had the same levels of cholesterol control in their patients with CHD at the level of their practices at the 75th percentile, then more than 600 strokes and 2,200 heart attacks could be prevented over five years. 
 
 

Geography: Clinical Commissioning Groups (CCGs) in England

Organisation: National Cardiovascular Intelligence Network (NCVIN)

External link: http://www.yhpho.org.uk/default.aspx?RID=226091

Published profiles: The packs published in March 2015 are available below

Eastbourne, Hailsham and Seaford CCG (Adobe PDF, 215KB) (opens new window)

Hastings and Rother CCG (Adobe PDF, 215KB) (opens new window)

High Weald Lewes Havens CCG (Adobe PDF, 215KB) (opens new window)

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