Chronic Illnesses

Health written question – answered on 25th February 2014.

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Photo of Sir David Amess Sir David Amess Conservative, Southend West

To ask the Secretary of State for Health

(1) what steps he is taking to improve the management of patients with long-term conditions such as cardiovascular disease and diabetes; and if he will make a statement;

(2) if he will publish annual reviews of the Cardiovascular Disease Outcomes Strategy; and if he will make a statement;

(3) what progress his Department has made in reducing premature mortality from cardiovascular disease.

Photo of Jane Ellison Jane Ellison The Parliamentary Under-Secretary of State for Health

Through the Government's Mandate to NHS England, we are monitoring how well the national health service supports people with long-term conditions such as cardiovascular disease (CVD) and diabetes. One of the improvements measured is how successfully the NHS manages long-term conditions by looking at unnecessary hospital admissions and excessive length of stay in hospital.

In January 2014 NHS England published ‘Action for Diabetes’, which sets out how NHS England will drive prevention of type 2 diabetes and earlier diagnosis of all diabetes, and support better management of diabetes in primary care.

The CVD Outcomes Strategy, published in 2013, sets out key actions for commissioners and providers to improve outcomes in CVD and includes a chapter on living with cardiovascular disease. NHS Improving Quality is supporting the delivery of the strategy by NHS England.

NHS England advises that it has no immediate plans to publish an annual report on progress in implementing the CVD outcomes Strategy.

Between 2001 and 2010 the CVD mortality rate in the under 75s fell from 108 deaths per 100,000 to 65 deaths per 100,000—a fall of 40%. Between 2011 and 2012, this rate fell from 58 deaths per 100,000 to 56 deaths per 100,0001

1 Direct comparison with previous year's mortality, prior to 2011, is not advisable. There was a decrease in the number of deaths, with an underlying cause coded as 'Cardiovascular Disease'. However, a large proportion of this decrease is caused by a correction to the coding of vascular dementia, which was coded as underlying cause CVD (167.9) until 2010 and is now coded as underlying cause in “Mental Health” deaths (F01). Further details can be found at:

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