CVD is the leading cause of premature mortality in England, responsible for about a third of all premature deaths. Most of these deaths are avoidable with the best optimised preventive care. Heart failure, stroke and coronary disease make up the bulk of these deaths and these three disease entities are the main focus within the Cardiovascular Optimisation Service Mentoring for Outcome Sustainability (COSMOS) programme, designed and developed by NSHI.
It is well established within the literature, that effective implementation of evidence based care within these disease entities, hugely improves mortality, morbidity and achieves reductions in non-elective admissions. Indeed, the evidence base within CVD is arguably more robust than within any other disease area yet we know that large cohorts of patients within primary care remain sub optimally managed.
Focussing resources on optimising these patients will not only significantly improve patient outcomes but could deliver enormous cost savings to the NHS, as we know that the bulk of the expenditure within CVD is within in-patient-care following a non-elective admission for a CV event.
This nurse-led programme aims to deliver sustainable, significant and measurable outcomes which will meet the requirements of National Outcomes Frameworks, QOF, QIPP and individual CCG business plans. The programme is designed to utilise current priorities and resources as a starting point in order to develop a staged approach towards a comprehensive CVD service.
The underpinning aim is to provide SUSTAINABLE improvements in cardiovascular outcomes within primary care. In particular, the programme will significantly reduce premature mortality from CVD, hospitalisation rates from CVD as well as improved QOL for patients with existing CVD.