Coronary heart disease and stroke.

  • Great Britain. Department of Health.
Date:
[1993]
Catalogue details

Licence: Open Government Licence

Credit: Coronary heart disease and stroke. Source: Wellcome Collection.

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    1.6 1.7 1.8 information available, to build a picture of the local CHD and stroke determinants, causes and burden @ review of options for intervention @® agreement on locally set aims and targets ® agreement on what action to take in each time period @ a programme which includes action on alliances for health, health promotion, and primary and secondary care ® monitoring and evaluation of progress, including working towards increasingly sound baseline information, in order that local progress can be understood and monitored. Managers will also want to ensure that they are: @ adjusting relevant existing local strategies, for example for smoking, obesity, alcohol, fitness, staff training, information, research and development in order to take the Health of the Nation targets into account @ aware of the developing techniques of target setting, including the processes involved in matching and reconciling targets at national and local levels @ aware of the developing knowledge base and expertise relating to the effectiveness and outcomes of treatments and other interventions ® encouraging work to explain and reduce variations in patterns of care, for example clinical policies and guidelines. Managers using the handbook will vary in their previous involvement in CHD and stroke programmes. Those with well developed local programmes may already have achieved much of what is suggested. They may wish to ensure that all the suggestions made in the handbook have been considered. Others will be looking for rather more guidance and more in the way of basic facts. The examples of local initiatives are set out separately from the main text to enable managers to make a rapid judgement about relevance to their local situation, and to follow up in more detail using the contact name given. This handbook focuses on what managers need to know and the action that they can take. The main effort for managers will be putting into action what can be done on the basis of existing knowledge, using existing effective interventions in prevention, treatment, care and rehabilitation. 10 CORONARY HEART DISEASE AND STROKE