CHD  
     
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  The Government's target is to reduce the deaths from CHD and stroke by 40 % by the year 2010  
     
  What is Coronary Heart Disease?  
     
  CHD is a common, disabling and life-threatening condition and it accounts for about a third of all deaths each year. Berkshire's epidemiological evidence indicates that it is following a national downward trend in the incidence of CHD.This is partly due to a greater awareness of the risks factors of heart disease, especially smoking, and advances in treatment, such as the introduction of clot-dissolving drugs (thrombolysis) for patients who have had heart disease.  
     
  CHD in Berkshire  
     
 

Despite these encouraging trends the number of deaths from CHD in Berkshire (approximately 1300 each year) are still too high. The morbidity and mortality associated with CHD can be prevented, or minimised, by a range of preventative health measures. Some of the modifiable risk factors for CHD are:

  • Diet
  • Physical Activity
  • Smoking
  • Psycho-social stress

The Coronary Heart Disease National Service Framework sets out 12 standards with clear objectives and milestones for the prevention and treatment of CHD.

  • Reducing heart disease in the population (Standards 1 and 2)
  • Preventing CHD in high risk patients (Standards 3 and 4)
  • Heart attack and other acute coronary syndromes (Standards 5, 6 and 7)
  • Stable angina (Standard 8)
  • Revascularisation (Standard 9 & 10)
  • Heart failure (Standard 11)
  • Cardiac rehabilitation (Standard 12)

Berkshire Health Promotion in conjunction with Public Health are leading on the primary prevention aspects of the NSF working in partnership with local agencies. They are:

 
     
  Standard 1  
     
  The NHS partner agencies should develop, implement and monitor policies that reduce the prevalence of coronary risk factors and reduce inequalities in the risk of developing CHD.  
     
  Standard 2  
     
  The NHS partners should contribute to a reduction in the prevalence of smoking in the local population.  
     
  We have input into the development and delivery of the Standards 3 and 4, which are:  
     
  Standard 3  
     
  General Practitioners and Primary Care teams should identify all people with established cardiovascular disease and offer them comprehensive advice and appropriate treatment to reduce their risks.  
     
  Standard 4  
     
  General Practitioners and primary health care teams should identify all people at significant risk of cardiovascular disease but who have not yet developed symptoms and offer them appropriate advice and treatment to reduce their risks.