Cardiovascular disease in England: supporting leaders to take actions

Think tank: The King’s Fund

Author(s): Veena Raleigh; Danielle Jefferies; Dan Wellings

November 11, 2022

This report from UK think tank The King’s Fund looks at delivering a coherent CVD and public health strategy focusing on prevention and management.

Cardiovascular disease (CVD) causes 1 in 4 deaths in England, and is a leading cause of morbidity, disability and health inequalities. The Covid-19 pandemic has added to the urgency of tackling CVD because CVD significantly increases the risk of severe disease and death from Covid-19. CVD is largely preventable. The risk factors for CVD apply also to other major conditions such as cancer, dementia and diabetes. Preventing and managing CVD and its risk factors therefore has the potential to improve population health, reduce health inequalities and ease pressures on overstretched health and care systems by reducing demand for services. The current national CVD policy landscape is fragmented. National leaders need urgently to deliver coherent CVD and public health strategies that focus on preventing and managing CVD and its risk factors. Given its high prevalence and large contribution to health inequalities, tackling CVD will be a relevant priority in most local areas. Integrated care systems (ICSs) can tackle CVD in their local areas by establishing strong local leadership and partnerships on CVD and public health, focusing on preventing and managing CVD and its risk factors, raising awareness of CVD, using data, tools and technology effectively, and reducing clinical variation. This work is informed by an analysis of published data on CVD; a literature review of current policy and evidence; and interviews and a workshop with key stakeholders working in health and care.