An agreed approach to CHD risk assessment and management, using a validated tool such as the Joint British Societies assessment charts and guidelines¹³

Well kept electronic patient records with risk factor levels and assessment scores clearly identified

An easily retrievable database of cases designated as “high risk” (i.e. a high risk register)

Suitable software to support the above

Staff trained to input the data

An adequate prescribing budget to cover preventive medication (e.g. statins, angiotensin converting enzyme (ACE) inhibitors, antihypertensives, nicotine replacement therapy, anti-obesity drugs, etc)

Agreed referral criteria and specialist support for cases requiring more intensive treatment (e.g. lipid clinic, diabetic clinic, obesity clinic, smoking clinic, exercise referral schemes, etc)