7 Further information

7 Further information

Table 9 summarises national drivers relevant to commissioning services for the prevention of cardiovascular disease. Local service redesign may address only one or two of them.

Table 9 National policy and key drivers relevant to the prevention of cardiovascular disease





Public health outcomes framework 2012–2016

Department of Health


Sets out national level desired outcomes from public health in England, including reduction in health inequalities and mortality from cardiovascular disease.

NHS outcomes framework 2012/13

Department of Health


Includes measures to prevent premature mortality from cardiovascular disease.

Quality and outcomes framework (QOF)



Rewards general practice for quality care and helps standardise improvements in the delivery of clinical care. Includes indicators for the primary prevention of cardiovascular disease, and a range of modifiable risk factors.

Fair society, healthy lives: the Marmot Review

The Marmot Review


Independent review to propose the most effective evidence-based strategies for reducing health inequalities in England from 2010.

Putting prevention first: NHS Health Check – vascular risk assessment and management: best practice guidance

Department of Health


Provides best practice guidance to support public health in its implementation of the NHS Health Check programme.

Cardio and Vascular Coalition: destination 2020. A plan for cardiac and vascular health. The voluntary sector vision for change

British Heart Foundation


Outlines a strategic approach to cardiac and vascular conditions, with an emphasis on prevention of cardiovascular disease.

The handbook for vascular risk assessment, risk reduction and risk management

University of Leicester and UK National Screening Committee


Handbook draws together best practice guidelines for assessing and managing a range of vascular risks.

Useful sources of information for commissioning may include:

Commissioners may wish to alert local overview and scrutiny committees to the following Centre for Public Scrutiny and NICE tools:

Sources of further information to help you in assessing local health needs and reducing health inequalities include:

  • The Information Centre for Health and Social Care's Health Survey for England is a series of annual surveys designed to measure health and health related behaviours in adults and children.

  • NHS Evidence is a service that enables access to authoritative clinical and non-clinical evidence and best practice through a web-based portal. It helps people from across the NHS, public health and social care sectors make better decisions.

  • NHS Information Centre Indicator Portal gathers together a number of health and social care indicators.

  • NHS Atlas of Variation 2011 covers 71 indicators and 15 Programme Budget categories, including the prescribing of statins.

  • NHS Comparators provides comparator data for NHS commissioning and provider organisations to enable users to investigate aspects of local activity, costs and outcomes

  • The Disease management information toolkit is a good-practice tool for decision-makers, commissioners and deliverers of care for people with long-term conditions, which presents data on conditions that contribute to high numbers of emergency bed days. It models the effects of possible interventions that may be commissioned at a local level and helps users to consider the likely impact of commissioning options

  • Disease prevalence models produced by the Association of Public Health Observatories provide primary care trust-level prevalence estimates by topic.

  • NICE has accredited the process used by NICE to produce guides for commissioners. Accreditation is valid for 5 years from November 2011 and applies to guides produced since November 2008 using the processes described in 'Process manual for developing guides from NICE for commissioners: Information for internal NICE teams' (2011). More information on accreditation can be viewed at www.nice.org.uk/accreditation