Heart Disease Prevention in Waltham Forest

This assignment delves into the growing concern of circulatory and heart diseases in the UK, particularly highlighting Waltham Forest Borough. It analyzes the common contributors, including unhealthy food consumption and excess oil/trans fat intake. The report emphasizes the National Institute for Health and Care Excellence's (NICE) recommendation for urgent palliative care in heart failure cases. The assignment concludes by proposing health promotion interventions such as educating the public about coronary diseases, promoting dietary changes and physical exercise, making healthcare more affordable, and encouraging preventive measures.

POSTER AND REPORT

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Identification of health issue in UK........................................................................................1
Significance of Heart & Circulatory Disease.........................................................................1
Area which will be focused on will be Waltham forest Borough. ........................................2
Management - hospital admissions........................................................................................2
Outcomes - mortality..............................................................................................................3
Health needs Waltham forest Borough...................................................................................3
Health promotion intervention...............................................................................................4
Effectiveness of Health promotion intervention.....................................................................5
REFERENCES................................................................................................................................7

INTRODUCTION
Health issue are increasing concern of society because it is a threatening problem. The
poster will outline common health issue of UK which is heart and circulatory diseases. It will in
determining significance of choosing specific diseases and UK as prone area to this health issue.
Further the report will outline the about Coronary heart diseases specifically in Waltham forest
borough, where almost 40% population die within a year of diagnosis. Thus, it will identify
health needs and intervention to prevent increasing CHD.
MAIN BODY
Identification of health issue in UK
 There are various health concern increasing in UK due to various environmental changes.
 The most common health issue lung cancer, bowel cancer, Respiratory, Heart &
Circulatory Disease, Asthma and strokes.
 The most common and increasing health problem is Heart & Circulatory Disease. More
than 160000 individual die every year due to adverse impact of circulatory diseases
(Hayes and et.al., 2017).
 It is common because it is caused due to various reasons such as hereditary, life style,
poor diet, lacking intake of nutrients, etc.
 It is an increasing health concern for the UK population because it is developing into lung
cancer and sever heart diseases.
 There are various risk involved with Heart & Circulatory Disease like physical
disabilities due to poor diet, high cholesterol, smoking, intake of alcohol, misuse of drugs
and high blood pressure.
 The non modifiable risk Factors of circulatory health issue that is age, ethnicity and
family history.
Significance of Heart & Circulatory Disease
 The reason behind choosing heart and circulatory diseases in to create awareness among
people about its adverse effects and increasing health concerns.
 It is assist in preventing risk of cardiac arrest and many other heart diseases (Singer,
2018).
1

 The importance of choosing this concern is to learn about prevention measure such as
lowering cholesterol by minimizing consumption of fast food, void Trans Fats, increasing
physical exercise, losing weight, quit smoking, Eat Soluble Fiber etc. (Singer, 2018)
Area which will be focused on will be Waltham forest Borough.
 Early mortality (under 75 years) rates from coronary heart disease are significantly higher
than the England rate.
 The CCG mortality rate has decreased by 41.8% since 2004-2006.
 In the three year period 2014-2016, the early mortality rate for CHD in NHS Waltham
Forest CCG was 49.3 per 100,000 people.
 In 2016/17 the admission rate for CHD in NHS Waltham Forest CCG was 647.6 for
every 100,000 people in the population (1,114 admissions). This is significantly higher
than the England rate (516 per 100,000).
 Getting treatment quickly is important for serious heart attack, where the coronary artery
is blocked.
 In 2016/17, the London Ambulance Service Trust had recorded 90.3% of these patients
receiving primary percutaneous coronary intervention (primary PCI) treatment within
150 minutes from the time a call for help was made.
 In England, this was 85.8%. PCI is a procedure used to treat the narrowed or obstructed
coronary arteries of the heart.
Management - hospital admissions
Coronary Heart disease
In 2016/17 the admission rate for CHD in NHS Waltham Forest CCG was 647.6 for every
100,000 people in the population (1,114 admissions). This is significantly higher than England in
general (515.8 per 100,000).
Heart failure
2

In 2016/17 the admission rate for heart failure for all persons in NHS Waltham Forest CCG was
171.8 for every 100,000 people in the population (280 admissions).
Outcomes - mortality
Heart failure - deaths
 The National Institute for Health and Care Excellence (NICE) have identified the need
for palliative care in heart failure (Hayes and et.al., 2017).
 Around 40% will die within a year of diagnosis and the quality of life may well be poorer
than with other illnesses.
 Most people would prefer to die at home if there is sufficient support.
 The Public Health Outcomes Framework includes an objective for reducing numbers of
people dying prematurely under the age of 75 from cardiovascular disease.
 CHD is the largest contributor to cardiovascular disease mortality (45%) and in the three
year period 2014-2016, the early mortality rate for CHD in NHS Waltham Forest CCG
was 49.3 per 100,000.
 This is a decrease of 41.8% since 2004-2006.
 In England, the mortality rate has decreased by 41.7% over this time period and the rate
in the North East London STP has decreased by 43.1%.
Health needs Waltham forest Borough
 Fulfilment of health care needs plays an important role in improving condition of society.
 In accordance increasing impact of coronary hear disease, it is important for the health
communities to create awareness for prevention.
 Enabling easy access to health care services and medication.
 Providing specialised training and clinical guidance to health practitioners.
 It is important to make health care services affordable for people as per Affordable acre
act.
3

 Setting priorities for health problems is the major requirement which can help in
preventing life threats.
Factor influencing health needs are as follows:
 Environment plays an important role in overcoming health needs and is mandatory
requirement of Waltham forest Borough.
 Educating people about the causes of coronary heart disorders is the practice that helps in
managing safe practice in area (Heran and et.al., 2011).
Health promotion intervention
As the analysis, implementing health intervention in area ill helps in making people aware about
safer and hygienic habits. Some recommendation on increasing health disease are as follows:
Dietary Modification: It is important for the health organisation to promote awareness
among people about altering their diet plans. The cause of increasing coronary heart diseases is
damage to heart vessel which can occur due to increasing cholesterol, hyper tension etc.
Therefore, in this the focus of NHS will be ensure that society is aware about dietary habits like,
deceasing consumption of trans fats, fried fast food, and processed food. The dietary
modification of prevention plan will comprise dark chocolates, garlic, Lentils, Almonds etc.
4

Regular medication and diagnosis: It is important for the individual to suffering from
CHD, to take proper medication and if not than also it is necessary for the population to visit for
test on regular basis to prevent heart diseases (Yang and et.al., 2010). Making sure about own
health problems is the intervention that assist in controlling health problems.
Involvement in Health programs: Organising health programs to educate people about
increasing health problem is the strategy that assist in making people understanding about
increasing health problems. The programs motivate people to acknowledge health as priority and
it is the plan which can decline cause of coronary heart diseases.
Physical exercising: Physical exercise is the most effective intervention of CHD because
it helps people overcoming their bad dietary habits like. It helps in compensating for edibles
which are not required in diet plans. Regular exercising is the plan which assist in reducing
cholesterol managing blood pressure, hyper tension and also aid in reducing weight.
Review intake of calories and diets plans regularly: Regular check-up helps in
diagnosing health problems is the basic practice which will play in important role in minimizing
CHD IN Waltham forest Borough. Like in case of Cholesterol, high blood pressure, it is
important for people to regularly visit for diagnosis and on the other hand it is important for the
health care organisation to make people aware about regular medication and diagnosis.
Effectiveness of Health promotion intervention
 Health promotion intervention are effective as it helps in spreading awareness and
reducing causes of health problems in society.
 The intervention will help in motivating people of Waltham forest Borough to involve in
physical exercising (Ivbijaro and et.al., 2014).
 It promotes health education which helps people in developing understanding over the
threats which can occur due to negligence.
 Health promotion intervention are cost effective approach.
 Motivates people to participate in health programs.
 Enable affordable health care services and prevention measures.
 IT encourages people to take implement precaution with regards to certain diseases.
CONCLUSION
The report summarized about the increasing health concern on circulatory and heart
diseases in UK. It evaluated the significance of identification from which it has been evaluated
5

that the common cause of increasing health problem is increasing consumption of unhealthy
fired food, consumption excess oil and trans fats. Further, it outlined that as per National Institute
for Health and Care Excellence (NICE) there is urgent need of palliative care in heart failure. It
specified the coronary heart diseases concern of Waltham forest Borough. Thus, it concluded by
deriving health promotion interventions and its effectiveness like, educating people about
increasing coronary diseases, need of altering diet plans and physical exercising.
6

REFERENCES
Books and Journals
Buck, D. and et.al., 1996. Reducing the burden of coronary heart disease: health promotion, its
effectiveness and cost. Health education research. 11(4). pp.487-499.
Haley, W.E. and et.al., 2010. Caregiving strain and estimated risk for stroke and coronary heart
disease among spouse caregivers: differential effects by race and sex. Stroke.
41(2). pp.331-336.
Ivbijaro, G.O. and et.al., 2014. Collaborative care: models for treatment of patients with complex
medical-psychiatric conditions. Current psychiatry reports. 16(11). p.506.
Yang, Q. and et.al., 2010. Multiple Genetic Loci Influence Serum Urate Levels and Their
Relationship With Gout and Cardiovascular Disease Risk FactorsClinical
Perspective. Circulation: Genomic and Precision Medicine. 3(6). pp.523-530.
Heran, B.S., and et.al., 2011. Exercise-based cardiac rehabilitation for coronary heart disease.
Cochrane database of systematic reviews. (7). pp.CD001800-1.
Hayes, L. and et.al., 2017. Do cardiometabolic, behavioural and socioeconomic factors explain
the ‘healthy migrant effect’in the UK? Linked mortality follow-up of South Asians
compared with white Europeans in the Newcastle Heart Project. J Epidemiol
Community Health, pp.jech-2017.
Singer, D.R., 2018. Resolving gaps and challenges for health policy to protect the heart and
circulation. Health Policy and Technology. 7(1). pp.1-2.
7