Review decision: 

This guidance will be fully updated

Next review: To be scheduled

The guidance is for government, the NHS, local authorities, industry and all those whose actions influence the population’s cardiovascular health (that is, can help keep people’s hearts healthy and prevent strokes).

This includes commissioners, managers and practitioners working in local authorities and the wider public, private, voluntary and community sectors.

It may also be of interest to members of the public.

The guidance comprises two sets of recommendations aimed at national policy makers and local practitioners respectively.

Recommendations 1 to 12 outline a national framework for action. They break new ground for NICE by focusing on legislative, regulatory and voluntary changes – including further development of existing policies. Topics covered include:

  • How to reduce the nation’s consumption of salt, saturated fats and trans fats
  • How to ensure food marketing and promotions aimed at children and young people do not encourage them to consume high levels of salt, saturated fats and trans fats
  • Commercial interests
  • Food product labelling
  • The European Union’s common agricultural policy
  • Public sector catering guidelines
  • Advice on take-aways and other food outlets.

The recommendations for practice mainly focus on how to plan, develop and run effective regional CVD prevention programmes (recommendations 13–18). Other topics covered include:

  • Children and young people
  • Public sector food provision
  • Physical activity
  • Health impact assessments of regional and local plans and policies
  • Take-aways and other food outlets
  • Nutrition training for catering managers.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

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