North Region Quality Assurance Conference Cheshire & Merseyside High Blood Pressure Programme "Saving lives: Reducing the pressure" Presented by: Dr Muna Abdel Aziz - Director of Public Health (Warrington Borough Council) Dr Gunjit Bandesha - Consultant in Healthcare Public Health (Public Health England) on behalf of the C&M Blood Pressure Partnership Board 8th February 2017
• System Leadership: The Cheshire & Merseyside Blood Pressure Strategy • Innovation and Digital technology • System readiness for the STP
Champs: The case for change • 625,000 people are affected by high blood pressure (BP) in Cheshire and Merseyside but almost half of this number are unaware that they have the condition. • Deaths from heart attacks and strokes are higher than the England average across C&M. • Taking in to account demand on the health and care system from heart attacks, strokes, heart failure, CKD and dementia, the financial cost of the ‘no change’ scenario for BP is estimated to be in the region of £500m over 5 years for Cheshire and Merseyside. • It is estimated that in C&M around 800 heart attacks and strokes could be prevented annually through optimising BP treatment alone.
Strategy objectives: a framework
Key work streams ‘Saving Lives: Reducing the Pressure’ C&M Cross Sector High 1. BP Strategy launched on Tuesday 17th May, World Hypertension Day 2016 2. Measuring success: The Indicator Dashboard and Health Economics 3. BUPA collaboration and the conversational tool 4. Primary Care System Leadership Workshop, May 2016 5. Community Pharmacy BP Group 6. Education and Training Programme 7. C&M BP pathway 8. Supportive Environments 9. Fire and Rescue Safe and Well Checks 10. Innovation and Digital Technology
Delivering the strategy
Baseline dataset – Where are we now? Insert David’s infographics
Baseline dataset – What are we doing? Insert David’s infographics
• System Leadership: The C&M Blood Pressure Strategy • Innovation and Digital technology • System readiness for the STP
The Test-Bed Bid • Runners up in the 2015 NHS Health and Care Test Bed Bid - £6million • Building on positive and constructive NHS E feedback by developing C&M BP pathway (flow through the system) • Commercial partners continue to be engaged/supportive • Refining and co producing the proof of concept locally • Information governance/data sharing issues faced by FRS are very relevant - need to understand and overcome • Requirement to explore and understand further funding opportunities e.g. second wave of Test Bed
Conversational Tool • Unmet need: ‘reaching’/empowering people in everyday settings in relation to BP • 2016 Bupa/Frog collaborated with C&M partners (including local insight work, interviews, focus groups) • Powerful insights gained (public/stakeholders) • Developed and validated a ‘conversational tool’ • Aims to facilitate BP discussions in community settings/motivate and empower self-care • Next steps - Building on insight gained and piloting the conversational tool in C&M (subject to resources)
Fire and Rescue Safe and Well Checks Safe and Well Checks • Expanding successful and proven FRS prevention role into health prevention/promotion • ~350 staff trained across C&M • Reach 100,000 homes annually • Embed BP measurements/brief intervention/signposting - Pilot Spring 2017 • Develop/ implement training once role/ pathway defined (BHF/ NICE offered to support) • Roll out November 2017 – April 2018 (subject to evaluation ) – 10,000 homes • Data sharing/ governance issues
Warrington Hypertension Prototype • Deployment of a range of interconnected devices (health kiosks/Apps/sensors) within a range of settings (workplaces, community venues) • Developing a data sharing system that enables safe and secure passage of health data from interconnected devices/health kiosks to health care professionals via a bespoke portal/ Warrington shared care record. • Piloting the approach within specified GP practices, alternative patient management processes for single condition or multiple long term condition reviews • Linking these patient cohorts into the Warrington prevention hub for support with personalised action plans for health and wellbeing
Figure - Showing how the Warrington prevention hub will work
• System Leadership: The C&M Blood Pressure Strategy • Innovation and Digital technology • System readiness for the STP
Key Health and Care Impacts • Headlines Cheshire and Cheshire and Wirral North Mersey Alliance Merseyside Over 96 deaths Over 38 deaths Over 30 deaths Over 28 deaths 658,000 prevented 284,000 prevented 199,000 prevented 175,000 prevented people people people people have high have high have high have BP BP BP high BP • Improved case finding of people with high blood pressure. • At least 4,400 additional people in each LDS, will have their BP controlled as well as the average of the best achieving practices in their CCG. • Reduced inequalities.
Key Interventions for the C&M STP • Systems leadership approach to drive change. • Accelerate and support quality improvement in primary care with dedicated education and training programmes for all interventions. • Empower patients and communities to understand key messages on the interventions. • Support the 20 large NHS provider organisations to develop healthy local policy for BP. • Increase the availability of Ambulatory BP Monitoring machines to ensure accurate diagnosis.
Gold (full implementation) Invest: £410k; ROI: £3.3 million Silver (mainly pharmacy based interventions): Invest: £160k; ROI: £1.4 million
Please view the Poster for more details on the strategy
Thank you
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