Issue - meetings

John Radford, Director of Public Health

Dr. John Radford, Director of Public Health, gave the following powerpoint presentation:-

-          Risk Assessment

Cardio Vascular Disease (CVD)

Type 2 Diabetes

-          Risk Communication

-          Risk Management

Lifestyle advice

Referral for behaviour modification

Prescribing

Our Objective

-          Screen 18% of eligible 20% of population annually

-          Challenge to deliver this in the most deprived communities

Lipid Modification NICE 2014

-          Systematic approach 40-74

-          QRISK2

-          Ethnicity, BMI, family history

-          High intensity statin for risk conditions with 10% risk

-          High intensity 20 mg atorvastatin for primary prevention

Diet

-          Reduce saturated fats

-          Replace saturated fats with olive oil and rapeseed oil

-          Reduce refined sugar and fructose

-          Fruit and vegetables whole grains

-          2 portions of fish

-          Signpost to NHS Choices

Exercise

-          High risk CVD 30 minutes of at least moderate activity daily

-          If unable to do this offer exercise to maximum capacity

-          Recommended physical activity could be built into daily living

-          Additive 10 minutes or more accumulated as effective as longer sessions

Q Risk 2

-          Age

-          Gender

-          Smoker

-          Premature family CVD

-          Hypertension treatment

-          Social deprivation

-          Total HDL cholesterol

-          Ethnicity

-          Rheumatoid

-          Chronic Kidney Disease

-          AF

Risk Communication

-     Individual risk and benefit

-     Numerical presentation

-     Signpost to appropriate information

-     Feelings and beliefs

-     Readiness to change lifestyle

-     Shared management plan

-     Check what had been discussed

Discussion ensued on the presentation with the following issues raised/clarified:-

·           Health Checks were aimed at everyone over the age of 45 years and were repeated every 5 years

·           It gave the opportunity to assess lifestyle and risk of heart disease/stroke and offer interventions for that risk

·           Since Public Health had joined the Council there had been a 30% increase in the number of health checks undertaken

·           A promotion programme would run from January, 2015

·           The prescribing of Statins could greatly reduce mortality from chronic heart disease

·           The participation rates at GP practices varied across the Borough

·           Stress and anxiety were not specifically included in possible causes of Q Risk 2 which were drawn up many years ago.  Social deprivation had been added as a means of acknowledging that if you were in control of your life you were less stressed

·           Timing of interventions and the life course approach of the Health and Wellbeing Strategy

·           The importance of winning “hearts and minds”

Resolved:-  (1)  That the presentation be noted.

(2) That Select Commission Members consider ways to champion and publicise NHS healthchecks, for example through town and parish council magazines.

(3) That details of the current membership of the following working groups be provided at the next meeting - Obesity Strategy Group, Rotherham Heart Town, Tobacco Control Alliance and the Self-Harm and Suicide Prevention Group.