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Building Healthier Hearts

Building Healthier Hearts. Ireland’s Cardiovascular Strategy A Presentation by Chris Fitzgerald March 2005. Background. Rates of Heart Disease in Ireland Incidence and Survival rates Lifestyle factors and inequalities Building Healthier Hearts published July 1999. 211 recommendations

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Building Healthier Hearts

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  1. Building Healthier Hearts Ireland’s Cardiovascular Strategy A Presentation by Chris Fitzgerald March 2005

  2. Background • Rates of Heart Disease in Ireland • Incidence and Survival rates • Lifestyle factors and inequalities • Building Healthier Hearts published July 1999

  3. 211 recommendations Reduce the risk Detect those at high risk Treat effectively Best survival and quality of life outcome for those who recover heart attack. Cardiovascular Health Strategy

  4. Implementing Structures • National and Regional • Heart Health Taskforce • Advisory Forum • Regional Committees • NCIS • Heartwatch • Sudden Cardiac Death Taskforce

  5. EUR 60 million in Five years

  6. Almost 800 Staff recruited

  7. New Services Heartwatch Cardiac rehab First responders Health promotion Chest Pain Clinics Existing Services Detection up 47% Investigations up 200% 24% drop in waiting lists Services nearer people Achievements

  8. How Far Have We Travelled? 6 out of 10 recommendations have been implemented

  9. Media Campaign ‘Ireland needs a change of Heart’ 26 additional Smoking Cessation Officers All Island campaign ‘Get a Life, Get Active’ 36 additional community dietitians Physical activity coordinators GP exercise referral Health Promotion

  10. Primary Care 55 Recommendations • Heartwatch • NRT for GMS patients • Purchase of Equipment • Training • Recruitment of PHNs and dietitians

  11. Pre Hospitals 18 Recommendations • Pre Hospital emergency Care Council • Defibrillators and other equipment • Staff training • First responder schemes to target geographically disadvantages • Sudden Cardiac Death Taskforce

  12. Hospitals 46 Recommendations • Staffing and equipment levels enhanced • Staffing - Resuscitation Posts - Technicians - Nursing - 19 Consultant Cardiologists since 1999.

  13. Hospitals Services • Pacemaker Service, Chest Pain Assessment Facilities • Increased non- invasive and invasive diagnosis procedures

  14. Cardiac Rehabilitation 10 Recommendations • Career Structure for cardiac rehabilitation co-ordinators • Many boards developed cardiac rehabilitation service • Phase 1 and 2 cardiac rehabilitation is now provided in most hospitals

  15. Information Systems, Audit and Research • NCIS • CHAIR • Heartwatch

  16. EU Presidency 2004 • “Promoting Heart Health – a European Consensus” – 24/25/26 February 2004 in Maryborough House Hotel, Cork • CARDS Conference – 10/11 May 2004 in Hayfield Manor Hotel and UCC, Cork

  17. Ultimate Objective Achieved Consensus Document was endorsed by the Health Ministers in June 2004

  18. Building Healthier Hearts The Way Forward

  19. The Way Forward • Continuity (reform programme) • Continue to resource • Finish the job! • Embed implementation structures in new arrangements

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