Reducing the pressure on the NHS by tackling hypertension: Making the economic case in Cheshire and Merseyside
PHE ePoster Library. Onyia I. 09/12/17; 186569; 14
Dr. Ifeoma Onyia
Dr. Ifeoma Onyia
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Abstract
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Abstract IntroductionIn 2016 the Cheshire and Merseyside partners launched a cross-sector strategy to tackle high blood pressure (BP). The same year a monumental reconfiguration of NHS services, NHS Five Year Forward View Sustainability and Transformation Plans (STP) began. This presented an opportunity to embed the BP strategy at scale across the local NHS economy, magnifying its impact on preventing heart disease and stroke. A rapid and robust economic case for change was needed to support high BP's place in the STP.Method A rapid review of the impact of local public health interventions by public health intelligence teams identified opportunities relating to high BP. Modelling used by PHE to estimate the national economic impact of increasing diagnosis by 15% was apportioned pro rata to local CCGs. PHE CVD prevention opportunity tools were used to estimate the potential financial impact of reducing unwarranted variation in the proportion of hypertensive patients controlled to a minimum standard.The financial 'no change' scenario was estimated taking a relatively narrow perspective of the costs of managing heart attacks, strokes and heart failure.ResultsA strong return on investment case resulted in the series of evidence-based BP interventions being embedded into the STP. The business case was structured into 'gold', 'silver' and 'bronze' plans, with impact on outcomes proportionate to investment. The 'gold' option was chosen unanimously.ConclusionDemonstrating the potential net financial benefit of tackling high BP to the NHS enabled the STP to be a significant lever for CVD prevention.
Abstract IntroductionIn 2016 the Cheshire and Merseyside partners launched a cross-sector strategy to tackle high blood pressure (BP). The same year a monumental reconfiguration of NHS services, NHS Five Year Forward View Sustainability and Transformation Plans (STP) began. This presented an opportunity to embed the BP strategy at scale across the local NHS economy, magnifying its impact on preventing heart disease and stroke. A rapid and robust economic case for change was needed to support high BP's place in the STP.Method A rapid review of the impact of local public health interventions by public health intelligence teams identified opportunities relating to high BP. Modelling used by PHE to estimate the national economic impact of increasing diagnosis by 15% was apportioned pro rata to local CCGs. PHE CVD prevention opportunity tools were used to estimate the potential financial impact of reducing unwarranted variation in the proportion of hypertensive patients controlled to a minimum standard.The financial 'no change' scenario was estimated taking a relatively narrow perspective of the costs of managing heart attacks, strokes and heart failure.ResultsA strong return on investment case resulted in the series of evidence-based BP interventions being embedded into the STP. The business case was structured into 'gold', 'silver' and 'bronze' plans, with impact on outcomes proportionate to investment. The 'gold' option was chosen unanimously.ConclusionDemonstrating the potential net financial benefit of tackling high BP to the NHS enabled the STP to be a significant lever for CVD prevention.
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