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Featured Thursday, Jun 14 2018

Cardiovascular Disease Programme paves the way for patients across East Berkshire

A cardiovascular disease (CVD) programme continues to pave the way for patients across East Berkshire.

East Berkshire Clinical Commissioning Group (CCG) has a successful track record of improving value for its population and one of the ways in which they do this is through their CVD programme.

Cardo

Working collectively on joint opportunities, the three CCG localities within East Berkshire – Slough, Windsor and Maidenhead and Bracknell and Ascot – have built a strong cross-border CVD programme that has resulted in improved outcomes and experiences for patients, as well as efficiency savings of around £2.2 m to date.

As part of the programme, a heart failure diuretic intravenous (IV) lounge was opened at Wexham Park Hospital in May last year to help improve services for people suffering from heart failure.

Evidence had shown that many heart failure patients with lengthy admissions to hospital could have in fact had their admissions prevented or shortened by having day case IV diuretics. With this in mind, the new innovative unit was set-up.

Within the first 13 days of the unit going live, 31 patients were seen, of which only three needed to be admitted into hospital. As of January this year, a total of 471 patients had been treated by staff at the unit and only 29 of these patients needed further admission. The lounge has resulted in savings of around £1m.

Furthermore, a community heart failure nursing service, which provides a community service to hundreds of patients across east Berkshire each year, has been expanded over the past year. Approximately 600 to 700 new referrals are now being received by the team from primary and secondary care health professionals, as well as self-referrals. The expansion has seen a decline in the number of hospital admissions of patients with heart failure.

Furthermore, improved prevalence and case findings for Atrial Fibrillation (AF) has resulted in a further £1.2 million savings as there has been a reduction in the number of people being admitted having suffered a stroke.

The CCG has increased hypertension (high blood pressure) prevalence by 12% since 2015/16 as thousands of people who were previously unaware that they had high blood pressure have now been successfully identified following the efforts of local NHS commissioners and GP practices.

CCG Associate Director Operations for Planned Care, Sangeeta Saran, said: “A lot of hard work has gone on over the past few years and I am grateful to all those who have helped to improve services for our patients across East Berkshire.

“The CVD work across the three localities is now being incorporated across the Frimley Integrated Care System (ICS), enabling the CVD programme to gather momentum and share learning.

She added: “As commissioners, it is our vision to work together with our partners to deliver excellent and sustainable healthcare.

“We want to serve and improve the health and wellbeing of our population and to ensure that services are safe, equitable and of a high standard.”