Bradford Healthy Hearts

Introduction

Bradford has one of the worst mortality rates from heart disease in England and Bradford Healthy Hearts aims at reducing the risk of heart attack and stroke. During 2016/17 we have reduced non-elective admissions by 10% and prevented 74 strokes and 137 heart attacks with costs saving associated with this estimated at approximately £1.2m. Bradford Healthy Hearts won the BMJ Award for clinical leadership team of the year in May 2016 and was commended for ‘Inspirational leadership at scale’ too. We supported the districts successful Guinness World Record title for the “longest chain of people making a heart shaped hand gesture” (in total 2,331 people) achieved on the 15th of September 2016 at Bradford City Park.

 

How are we doing

  • Bradford has one of the worst mortality rates from heart disease in England and Bradford Healthy Hearts aims at reducing the risk of heart attack and stroke:
    • during 2016/17 we have reduced non-elective admissions by 109%
    • prevented 74 strokes
    • prevented 137 heart attacks
    • with costs saving associated with this estimated at approximately £1.2m.

What we have achieved in 2016/17

Bradford has one of the worst mortality rates from heart disease in England. That is why one of our main priorities – through Bradford’s Healthy Hearts (BHH) – is to reduce the risk of heart attack and stroke.  BHH involves wide-ranging engagement with a broad range of healthcare stakeholders including hospital consultants, GPs, other healthcare professionals and patients.

Through BHH, clinicians working with the BHH programme have:

  • used the QRISK2 assessment (a calculator to work out the risk of heart attack and stroke) to identify people with more than a 10% risk of having a stroke and to start them on statin medication
  • worked to prevent strokes for people with atrial fibrillation (an abnormal heart rhythm that increases the risk of stroke). This programme has assisted people to start oral anticoagulation (blood thinning) therapy to reduce the risk of stroke
  • started, in February 2016, a programme to improve blood pressure control for patients with high blood pressure

This excellent work was recognised when BHH won the BMJ award for clinical leadership team of the year in May 2016 and was commended for “Inspirational leadership at scale, taking forward ambitious targets to tackle long-standing public health challenges, and the engagement with the public whilst balancing demands on the clinical workforce was impressive.” In addition, BHH was held up as an example of good practice in the NHS RightCare commissioning for value long-term conditions pack in December 2016.

The BHH website is an excellent resource for patients and professionals with lots of helpful information. BHH also lent its support to the district’s successful Guinness World RecordsTM title for “Longest chain of people making heart-shaped hand gestures” (2,331 people) which was achieved on 15 September 2016, at City Park. BHH gave the event a healthy twist by encouraging adults to get their blood pressure checked to cut their risk of stroke.

Bradford Healthy Hearts - plans over the next two years

Bradford Healthy Hearts will continue to operate in 2017/18, with a focus on hypertension, with the aim of reducing future cardio-vascular disease events and to prevent people from dying prematurely. The programme will work with over 2,500 newly diagnosed hypertensives and will continue to support patients with education events. We aim to identify and treat individuals in the community who have hypertension (high blood pressure) but are not aware and are undiagnosed.  We aim to support early diagnosis of this condition to ensure that people are started on appropriate medication and given sufficient information to help reduce their longer term risk of having a cardiovascular event such as a stroke.  This two year project will provide evidence on successful outcomes to the British Heart Foundation who have funded this project, as well as other different models around the country with a view to expanding roll out widely.

Bradford Healthy Hearts - plans for the next five years

By 2020, we will have prevented 150 strokes and 340 heart attacks helping to reduce health inequalities, improve health and wellbeing and reduce spend on preventable hospital admissions. We also plan to:

  • roll out patient education sessions,
  • continue to develop plans to reduce the risk of heart disease,
  • develop hypertension work stream,
  • review pathways across primary and secondary care to avoid non-elective admissions.