Meeting the challenge of cardiovascular care in the new National Health Service

R Boyle

Correspondence to:
Correspondence to:
Dr Roger Boyle
National Director for Heart Disease, Department of Health, Wellington House, 133–155 Waterloo Road, London SE1 8UG, UK; roger.boyle{at}doh.gsi.gov.uk

The National Service Framework (NSF) established coronary heart disease as a priority area for the government and for the National Health Service (NHS). In the three and a half years since its launch, good progress has been made and the NSF is already delivering real improvements for patients, demonstrated by a near 25% reduction in the death rate from circulatory diseases. Prescribing of cardiovascular drugs for secondary prevention has increased, acute myocardial infarction is being treated more promptly, and there is improved access to revascularisation procedures. However, there is still a notable class differential in cardiovascular deaths. There has been exponential growth in use of statins but the drugs are still not being used to optimum effect. Heart failure has now been identified as a priority for action.

Keywords: cardiovascular care; National Health Service; National Service Framewor; coronary heart disease

Abbreviations: CABG, coronary artery bypass graft surgery; CHD, coronary heart disease; MINAP, Myocardial Infarction National Audit Project; NSF, National Service Framework; NHS, National Health Service; NICE, National Institute for Clinical Excellence; PCT, primary care trust; SMR, standardised mortality ratio

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