Tower Hamlets: Managed practice networks to improve rates of cardiovascular disease

Published: 18th November 2014

Tower Hamlets, an inner-London borough with one of the most deprived and ethnically diverse populations in the UK, ranks fourth in England for premature cardiovascular death.

From 2009 NHS Tower Hamlets spent an additional £2 million per year to improve the quality of primary care. This included the implementation of a system of managed clinical networks across all primary care teams in 2009.

The introduction of the managed clinical networks was associated with moving from the bottom national quartile of performance to the top national quartile in 3 years across a range of outcomes.

Improvements over 3 years included:

  • a 10% increase in high blood pressure prescribing
  • an improvement of 6% in reaching the target of less than 150/90mmHg for those on hypertension registers (compared to less than 2% improvement in England overall)
  • an 18% greater reduction in chronic heart disease (CHD) mortality (45% in Tower Hamlets versus 25% nationally)

Tower Hamlets was the highest ranked of the 221 CCGs in England in the 2013 to 2014 Quality and Outcome Framework for blood pressure control in people with coronary heart disease and diabetes.

Access the full case study here.

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