Improving the Improved anticoagulant Number of recorded Number of recorded Mar 2016 Via Primary Hannah Layton 1-5 with management of patients with therapy for individuals patients with Atrial Care (CCG) ongoing Atrial Fibrillation Atrial Fibrillation with Atrial Fibrilation against 2015/16 benefits in the Fibrillation 11,688 (1.9%) expected prevalence by and joint community to practice education prevent stroke project with Incidence of Ischaemic the Stroke Academic Health Science Network Promoting Ensure self management Take-up of Expert 70% of EEP participants Mar 2017 Current CCG Matt Pearce 1-3 years effective self services are sufficently Patient Programme are from IMD deciles 1-4 investment management targetting areas of high and specialist self in Expert (of condition) heallth needs management services Patient People with long-term conditions live in deprived areas and have access to fewer resources of all kinds. Reduction in the Implement an Estimated number of Number of participants Mar 2017 Funded by Sue Weaver (GCC) 1-3 years number of based diabetes people aged 16 and taking up intervention NHSE /Matt Pearce people in prevention programme as over who have (CCG) Gloucestershire part of NHS England’s with National Diabetes hyperglycaemia by Prevention Programme local authority. hyperglycaemia (subject to successful bid)
Improving the management of Atrial Fibrillation in the community to prevent stroke Improved anticoagulant therapy for individuals with Atrial Fibrillation Number of recorded patients with Atrial Fibrillation 11,688 (1.9%) Number of recorded patients with Atrial Fibrilation against expected prevalence by practice Incidence of Ischaemic Stroke Mar 2016 Via Primary Care 2015/16 and joint education project with the Academic Health Science Network Hannah Layton (CCG) 1-5 with ongoing benefits Promoting effective self management (of condition) People with long-term conditions live in deprived areas and have access to fewer resources of all kinds. Ensure self management services are sufficently targetting areas of high heallth needs Take-up of Expert Patient Programme and specialist self management services 70% of EEP participants are from IMD deciles 1-4 Mar 2017 Current investment in Expert Patient CCG Matt Pearce 1-3 years Reduction in the number of people in Gloucestershire with hyperglycaemia Implement an diabetes prevention programme as part of NHS England’s National Diabetes Prevention Programme (subject to successful bid) Estimated number of people aged 16 and over who have hyperglycaemia by local authority. Number of participants taking up intervention Mar 2017 Funded by NHSE Sue Weaver (GCC) /Matt Pearce (CCG) 1-3 years based