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Health: Co-morbidity

Volume 707: debated on Tuesday 10 February 2009

Question

Asked by

To ask Her Majesty's Government what assessment they have made of the common risk and level of co-morbidity of heart disease, stroke, diabetes and kidney disease; and what evaluation they have made of how a future strategy may provide integrated prevention, treatment and care. [HL1062]

The vascular checks programme will put in place an integrated, systematic, population-wide vascular risk assessment and management programme for those between the ages of 40 and 74. This national programme will assess people's risk of heart disease, stroke, diabetes and kidney disease and offer individually tailored prevention. Phased implementation will begin from April 2009-10.

To inform the development of the vascular checks programme, the department constructed a model based on the common risk factors for these conditions: smoking, obesity, lack of exercise, blood pressure, cholesterol, age and ethnicity. The model drew heavily on the National Institute for Health and Clinical Excellence guidance in the relevant areas and went out to consultation in July 2008. The full impact assessment was published in November 2008. The evidence shows that a significant amount of vascular morbidity and mortality is preventable. The modelling work estimates that this programme can prevent 1,600 heart attacks and strokes, save at least 650 lives a year, and prevent over 4,000 people a year from developing diabetes.