Cardiovascular Disease

Cardiovascular disease (CVD) is a term that describes a family of diseases with a common set of risk factors and that result from atherosclerosis (furring or stiffening of artery walls), particularly coronary heart disease, stroke and peripheral arterial disease. It also covers other conditions such as vascular dementia, chronic kidney disease, cardiac arrhythmias, type 2 diabetes, sudden cardiac death and heart failure. These conditions often share common risk factors or have a significant impact on CVD mortality or morbidity.

Heart and circulatory diseases cause more than a quarter (26%) of all deaths in England. An estimated 7 million people in the UK are affected by Cardiovascular Disease and it costs the NHS around £7.4 billion a year, with a further £15.8 billion cost to wider society each year.

CVD JSNA Graphic

Falling mortality rates from heart disease were the biggest contributor to life expectancy increases between 2001 and 2016 in England. Since 2011 the rate of increase in life expectancy has slowed nationally and reductions to life expectancy have occurred locally in Oldham as there has been a plateau in improvements to heart disease mortality. This highlights the need for a renewed drive to prevent cardiovascular disease deaths[1].

  • Cardiovascular Disease in Oldham

There were 580 deaths in residents under 75 from cardiovascular disease in Oldham in 2015/17. The Oldham rate has remained significantly higher than the England rate throughout the entire period shown in the graph below (2001/3 to 2015/17). There have been overall improvements in the under 75 mortality rate since 2001/3, with Oldham’s rate decreasing by 45%. Decreases have been slightly higher across the North West (47%) and England (48%). Although sizeable reductions have taken place, the rate of improvement has slowed in recent years, with Oldham seeing slight increases to the rate recently.

U75 CVD JSNA

  • Cardiovascular Disease Resources

1. Further information, facts and figures relating to cardiovascular disease can be found on the PHE Cardiovascular Profiles:
https://fingertips.phe.org.uk/profile-group/cardiovascular-disease-diabetes-kidney-disease/profile/cardiovascular/data#page/0/gid/1938133106/pat/46/par/E39000037/ati/152/are/E38000135

2. Public Health England produce summary reports for the following cardiovascular related conditions for each CCG. Oldham’s reports can be found by clicking on the links below:

Stroke Profile
Heart Disease Profile
Kidney Disease Profile
Diabetes Profile

3. Public Health England –  Health matters – Preventing Cardiovascular Disease looks at the work being undertaken to prevent cardiovascular disease

4. Public Health England –  Cardiovascular disease data and analysis: a guide for health professionals explains how commissioners and health professionals can use data and analysis for decisions about cardiovascular services and interventions.

5. Oldham’s cardiovascular disease primary care intelligence pack produced by Public Health England can be found here. The packs look at prevention, diagnosis, care and outcomes and allow for comparison between CCGs and between GP practices within Oldham. The packs can help healthcare professionals make decisions about how to improve local primary care.

6. CVD Prevalence Estimates – CVD estimates can help healthcare professionals understand the prevalence of cardiovascular conditions among certain populations (for example, by sex or age) in their area. Use the data to estimate how many people in your local area have a particular CVD diagnosis and how many people may be undiagnosed. This can help with planning services and improving outcomes for patients. The data used in these estimates are from various sources. The estimates use data from local authorities, CCGs and GP practices.

References
[1]Health Matters: Preventing cardiovascular disease, Feb 2019