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Cardiovascular disease

Local projects have been submitted from around the United Kingdom from a range of different organisations. The aim of the local projects is to share what is being done to improve health in the community. This section has not been peer reviewed and the BMJ Group makes no guarantee about the accuracy of the information supplied. For more information contact the organiser of the local project directly. For our full website terms and conditions please click here.

Each local project has a summary box and contact details. Further detail is also provided.

If you would like to submit a local project then please contact us.

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Best Foot Forward, Nottingham

Description Provide the local community with access to local and free physical activity programmes.
Setting Across Nottingham city
Population People living in the most deprived areas of Nottingham.
Intervention Set up weekly guided health walks in the local area.
Main Outcome Increase the number of people attending the walks.
Cost Start-up - £2000; Running costs - £1000-£5000; Total -
Contact Email rachel.marriott@nottinghamcity-pct.nhs.uk
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Birmingham Own Health

Description Telephone based care to support and empower individuals to make behaviour changes that improve their health and well being, whilst also encouraging self management of their long term condition.
Setting Telephone Based Care Management Centre in Dudley.
Population People with diabetes, heart failure, coronary heart disease, cardiovascular disease, and chronic obstructive pulmonary disease who live in areas of deprivation in Birmingham.
Intervention Telephone based care linked to Primary Care Trust services, general practice and social support.
Main Outcome Improved health of patients and reduction in utilisation rates.
Cost Start-up - £120 000; Running costs - £850 000 per annum; Total -
Contact Email andrew.donald@benpct.nhs.uk
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Cottoning On, Oldham

Description Cottoning On is a strategic healthy living partnership
Setting The most disadvantaged areas of Oldham
Population Young people and black and minority ethnic (BME) women
Intervention Within Cottoning On there are a range of projects. These include the Energise Project which helps young people move towards health and fitness; the Himmat and Saharah Projects which supports BME women to develop and sustain healthier communities; and the Pathways to Health project which provides training to empower BME women to take more control of their health.
Main Outcome Successfully delivered a range of interventions and activities that have engaged some of the most hard to reach groups within Oldham. Young people and BME women have been supported to actively participate in improving their own health and the health of their communities.
Cost Start-up - £91 428; Running costs - Approximately £2.5 million over six years; for 2006-7 the budget is approximately £500 000.; Total -
Contact Email martynprice@nhs.net
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Energize Oldham

Description This project encourages young people to engage in physical activity.
Setting Parks and open spaces in the community; sports clubs.
Population Young people and people from deprived areas that are high in coronary heart disease.
Intervention Creation of parks and open spaces in the community, setting up activity based clubs.
Main Outcome Too early to say.
Cost Start-up - See below.; Running costs - Currently in the second stage which amounts to about £80 000. The project has a budget of £200 000 overall.; Total -
Contact Email damianaston@yahoo.co.uk
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Exeter Primary Care Trust Headache Clinic

Description A stroke service covering acute and community care across health and social care organisations
Setting Acute stroke unit, primary care stroke unit and community services.
Population All patients with a diagnosis of stroke.
Intervention Design of care pathway advising primary care services to send patients with suspected diagnosis of stroke to Torbay Hospital for diagnosis and assessment. Once medically stabilised, patients are transferred to the community stroke unit at Newton Abbot.
Main Outcome Over 90% of patients with stroke now admitted to the stroke units; patients seen quickly; reduced length of hospital stay
Cost Start-up - Nil. The remodelling of the community services were part of Primary Care Trust community hospital changes and skill mix.; Running costs - Absorbed into pre-existing services – the community stroke unit took over one of the wards of a community hospital.; Total -
Contact Email fc.jenkins@nhs.net
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Foyle Health @ Work

Description Aims to improve the health of employees by creating a support service to raise awareness of health issues, encourage self development, provide practical programmes, develop health policies, and promote wellbeing.
Setting Workplaces in Limavady, Strabane and Derry/Londonderry. These areas are rated highly in the Multiple Deprivation Measure Index.
Population Over 2000 people at work
Intervention Interventions include cardiac risk assessment, health needs assessments, cancer awareness workshops, walk leader training, smoking cessation and policy training, physical activity challenges, healthy eating programmes, stress management training, health and safety advice and back care programmes.
Main Outcome Increased staff morale, better networking, better informed staff, and more participation in physical activity.
Cost Start-up - ; Running costs - Total over three years: £140 000. Approximately £10 000 programme budget, and approximately £35 000 salary budget.; Total -
Contact Email fionat@derryhc.com
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Grab 5!

Description An education and activity programme to help primary schoolchildren in low income areas eat more fruit and vegetables.
Setting Schools
Population Primary school children (aged 7-11 years old) in Lambeth, Leeds and Plymouth
Intervention Activities undertaken by schools included setting up fruit tuck shops, growing clubs and cooking classes
Main Outcome Increase in consumption of fruit and vegetables, decrease in consumption of high fat snacks and a significant increase in knowledge about fruit and vegetables. Schools reported a large increase in activities promoting fruit and vegetables.
Cost Start-up - The budget for the first year was approximately £155 000. Start up costs for individual schools varied between £70 and £420 (not including staff time).; Running costs - Total cost: £650 000 over three years The project can be run in a variety of ways so running costs vary widely. Some suggestions are given in the Grab 5! Publication, Right to the Core, available at www.grab5.com.; Total -
Contact Email jeanette@sustainweb.org
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Health Equity Audit of Coronary Heart Disease (CHD) and Diabetes Prescribing in South Wiltshire

Description To identify inequalities in prescribing key drugs for people with diabetes or coronary heart disease (CHD).
Setting Primary care
Population People with CHD or diabetes living in South Wiltshire
Intervention Analysing the prescribing rates of beta-blockers and angiotensin converting enzyme (ACE) inhibitors for CHD patients, and ACE inhibitors for people with diabetes.
Main Outcome There were variations in the prescribing rates of beta-blockers and ACE inhibitors for CHD patients and in ACE inhibitors for people with diabetes.
Cost Start-up - £2500; Running costs - £500; Total -
Contact Email pcmilner@doctors.org.uk
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Healthy Living Resource Centre

Description The Centre will open in October 2007. It will bring about step changes in local health inequalities by tackling particular health issues like smoking, obesity, poor housing, mental health and community regeneration by changing how services are delivered locally, reducing barriers and improving health choices.
Setting Easington Colliery and its surrounding areas. Easington Colliery is the most deprived area in England as defined by the English Indices of Deprivation (2004).
Population All residents living in Easington Colliery and its surrounding areas.
Intervention A number of core services will be delivered through the centre such as podiatry service, cardiovascular suite and a children’s gym. Sessional activities will include smoking cessation, weight management, healthy eating and community safety.
Main Outcome None yet. A number of outcomes will be measured such as life expectancy, smoking cessation rates and obesity levels.
Cost Start-up - £750 000; Running costs - To be determined.; Total -
Contact Email fiona.gillespie@cdpct.nhs.uk
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Healthy Transport

Description Organised walks and cycle
Setting Parks and green spaces in the local neighbourhood
Population Sedentary people and people who would benefit from more exercise
Intervention Various organised walks and activities
Main Outcome Increased physical activity
Cost Start-up - Not known; Running costs - Not known; Total -
Contact Email asharp@wakefield.gov.uk
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Heart of Mersey (HoM) CVD prevention programme

Description England's largest and most comprehensive cardiovascular disease (CVD) primary prevention programme.
Setting Various settings throughout the six Local Authorities (LAs) of Greater Merseyside: Halton, Knowsley, Liverpool, Sefton, St. Helens and Wirral.
Population The whole population of Greater Merseyside, especially children and adults living in the most deprived areas of Greater Merseyside.
Intervention Various healthy food and tobacco control interventions make up the programme. Examples include: Food and Health Strategy, Merseyside Food Charter, Smokefree NHS and LAs, Health Survey for Greater Merseyside and Healthy Stadia.
Main Outcome Reduction in dietary fat intake and population level of serum total cholesterol; increase in fruit and vegetable consumption; reduced salt and sugar intake; and more people stopping smoking.
Cost Start-up - £500 000; Running costs - Approximately £500 000 per annum; Total -
Contact Email angela.cockburn@heartofmersey.org.uk
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Housing for Health

Description To improve the health, housing and living conditions of people with the eligible chronic illnesses.
Setting Within the Local Authority of Bradford District
Population Adults and children with chronic illnesses living in Bradford
Intervention Health advice and signposting to other health agencies and schemes such as Warmfront. Funding works to make homes safer, warmer, free from damp and disrepair.
Main Outcome Increase in clients’ physical activity and healthier eating
Cost Start-up - Not known; Running costs - The annual running costs are approximately £175 000 for salaries, administration and management costs. £250 000 is also available for housing works.; Total -
Contact Email Alison.garlick@bradford.gov.uk
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Modernisation Initiative - demand and capacity mapping in sexual health

Description An initiative to better understand where people access sexual health services and where improvements can be made
Setting Sexual health services in acute, community, general practice and community pharmacy
Population Full range of sexual health service users in an area of high need
Intervention Mapping demand and capacity in all services to understand the whole system of sexual health service provision in order to inform service improvement and redesign
Main Outcome Short term improvements within services (such as reduced waiting and transit times) and the development of a new service model currently being implemented in Lambeth and Southwark.
Cost Start-up - The costs depend on how extensive the mapping will be. It is possible to do it from existing resources and to bring in the specialist skills needed (e.g. around data analysis) from local organisations with an interest in the project. Our costs included the following: Staff time to manage the project from design to implementation and to provide admin back up; Incentive payments to general practices and community pharmacies; Temporary staff to help with data collection and entry; and Expert staff time to analyse and present the data.; Running costs - Unknown; Total -
Contact Email Vikki Pearce, programme manager – sexual health: vikki.pearce@gstt.nhs.uk Gary Alessio, network development manager: gary.alessio@gstt.nhs.uk
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Nurse-Led Clinics in Cardiology

Description Nurse-led clinics for heart attack and invasive investigations including surgery.
Setting Secondary care
Population Patients who have had a heart attack, angiogram, angioplasty or coronary artery bypass graft (CABG).
Intervention The clinics ensure patients are seen by a specialist nurse with the knowledge and skills to assist the patient in making empowered decisions about their recovery and future.
Main Outcome Not available
Cost Start-up - Unknown; Running costs - One Specialist Nurse salary of £33 000 per annum. Also the salaries of the administration staff (unknown).; Total -
Contact Email cas.shotter@wmuh.nhs.uk
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Time to Change Exercise Consultation on Referral Scheme

Description Clients are referred to the scheme and given six months’ support to increase levels of physical activity.
Setting A range of settings including leisure centres, community associations and parks.
Population Adults who do not do enough physical activity.
Intervention One to one consultations involving activity plans
Main Outcome Increased levels of physical activity
Cost Start-up - £5000; Running costs - £25 000 per annum; Total -
Contact Email holdingjoe@walsall.gov.uk
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Well @ Work

Description Encourage staff to adopt healthier lifestyles and gather the evidence to demonstrate that workplace health promotion works.
Setting Workplace
Population Staff working on the Newham health village site
Intervention A wide range of interventions including onsite activity clubs, team pedometer challenges and health MOTs.
Main Outcome An evaluation report will be available in late 2007 from the British Heart Foundation
Cost Start-up - £105 000; Running costs - ; Total -
Contact Email scott.lloyd@newhamhealth.nhs.uk
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Winning with Wellness

Description A two year workplace health promotion project
Setting Workplace
Population Adults aged 16-64 years employed at Masterfoods UK in Slough
Intervention Various interventions are being delivered including a smoking cessation service, an in-house weight management scheme, onsite exercise classes and wellbeing workshops.
Main Outcome The project is being evaluated by Loughborough University and will report in late 2007/early 2008.
Cost Start-up - Approximately £100 000 Each regional project was given a grant of £100 000 for a period of two years. Masterfoods undertook considerable development work before receiving the funding.; Running costs - £100 000 plus; Total -
Contact Email arthi.santa@eu.effem.com arthi.santa@berkshire.nhs.uk
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