Download - Statins for ischaemic heart disease: Excellence and equity Hackney, Newham & Tower Hamlets
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Statins for ischaemic heart disease: Excellence and equity
Hackney, Newham & Tower Hamlets
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Tower Hamlets
HackneyNewham
CHD Mortality<75yrs x Deprivation (IMD): English LA 2006-8
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London PCTs: CHD mortality and deprivation score: 2005-7 directly standardised rate /100,000 persons all ages
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Declining CHD: Increasing obesityHackney, Newham, Tower Hamlets PCTs
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I % with IHD on statin 3 PCTs 2004- 2010 n≈15,000
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Lower cost and greater gainSimvaststin vs atorvastatin
2005Low cost statin agreed.Local guideline
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Lower cost and greater gainGeneric statins as % all statins London 2009
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%cholesterol<5mmol/l
People with CHD: % on statin
CHD register: cholesterol <5mmol/l and % statins3 E London PCTs ~ 12,000 people
Statins for CHD = better outcomes
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Statin prescription effect on cholesterol by ethnic group
% on statin and % cholesterol <5mmol/l by ethnic group: 3 PCTs 2007-2009
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• 4000 extra people with IHD on statins
• Without statins 150 MI/CVD deaths/ yr
• Statins prevent 37 MI/CVD deaths/ yr
• East London PCTs above average generic prescribing – lower cost
• South Asian people highest statins
• Still room for improvement
Gains from improvement
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• The Clinical Effectiveness Group is funded by Hackney, Newham and Tower Hamlets PCTs
• The three year project on health equity was funded by The Health Foundation
• CEG guidelines are available on-line http://www.ihse.qmul.ac.uk/chs/ceg/clinical_guidelines/index.html
Funding and guidelines