Key Actions for Change

1. Team–working – It is recognised that developing a team with clear shared strategic aims for redesign (i.e. developing a HF strategy) which follows a model for change, often delivers better outcomes. One model used with heath care redesign of services is the Kotter Model Kotternic.Com - Methodology - Step 8.
2. Early Identification of risk factors for HF – UCLPartners.Com - Proactive Care.
3. Understanding of your current risk factors for HF gaps - fingertips.phe.org.uk - profile-group - cardiovascular-disease-diabetes-kidney-disease.

Areas of Interest

Prevention of HF

• Under the Make Every Contact Count (MECC) principle inc. NHS health checks: primary prevention for the detection and management of risk factors e.g. HTN/dyslipidaemia/ smoking/ obesity/alcohol etc, will reduce the risk of developing HF.
• Early identification and optimisation of diseases that lead to HF e.g. HTN/diabetes/CKD – inc. albuminuria/AF/valve disease/CAD/cardiotoxic chemotherapy. Esp. in Core20plus groups. These patients are at risk of preventable disease, admissions, morbidity, and mortality.
• Accurate coding e.g. CKD G and A stages / Diabetes / HTN without current disease codes. Processes to systematically identify, code and treat these patients is essential. Significant number of patients have undiagnosed, uncoded or unmanaged CV risk factors or established vascular disease.

Heart failure is a significant global public health crisis and the burden of heart failure in the UK is significant.

The unmet need in HF is deceptively high and continues to grow.

Toolkit Resource

• CVD Prevent – CVD Prevent - NHS
• UCLP Proactive care frameworks - UCL Partners - Proactive Care
• Grasp HF – Microsoft Word - GRASP_HF_Analysis_V1.0 (nottingham.ac.uk) - Open Word Document