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Stroke and TIA

You are currently viewing a topic page that is part of the Cluster Planning Support Portal (CPSP). Each topic page comprises (a) topic-specific strategic context; (b) signposting to data analyses relating to local health needs; and (c) improvement action options.

 

A.  Strategic Content

Consider the national strategic context for prioritising improvement action in this area (in conjunction with your health board’s annual plan and regional partnership board’s area plan). The strategic importance of a given topic is key to thinking about how our actions align with local or national initiatives and policies to deliver collective and measurable impacts on population health.

  • In Wales cardiovascular diseases are a leading cause (18%) of DALYs and, together with cancer, are the main causes of years of life lost (Health and its determinants in Wales; PHW 2018).
  • About 82% of the DALYs due to cardiovascular disease are attributable to known risk factors (Health and its determinants in Wales; PHW 2018); this underpins the importance of prevention efforts.
  • The inverse care law (Hart 1971) states that the availability of good medical care tends to vary inversely with the need for it in the population served. The Inverse Care Law (ICL) Programme, established in the South Wales valleys, aims to increase ascertainment of people with or at risk of cardiovascular disease and supports them to make healthy behaviour changes.
  • Key policy on stroke and transient ischaemic attack (TIA) is set out in the Stroke delivery plan (WG 2017).
  • Indicators for this topic are reported via Primary Care Measures.

 

B.  Data analyses

Consider statistical indicators and other evidence on population needs to compare your own position to that of others, both within and without your health board (where possible). If relevant, consider any additional local data requirements that might contribute to an informed decision on action.

  • Indicator: Description of a recommended indicator relating to this topic, which would inform population needs assessment.
  • Data source and link: Who produces the analysis and where to find the most current analysis on their website (NB the most current analysis may not utilise the most recent data).
  • Documentation link: Where to find general advice on interpreting the analysis e.g. what is/ is not included, any caveats, etc.

Indicator:

Prevalence of stroke and TIA (%)

Data source and link:

Outcomes Framework (QOF) disease registers

Documentation link:

The data source link contains high level, summary, and statistical quality information

 

C.  Improvement actions

Identifying priority actions involves seeking and appraising evidence on effective and cost-effective improvement options. The below options are a starting point for considering interventions at practice, cluster/ professional collaborative or pan-cluster level. The make-up of your cluster and the stakeholders you work with is likely to influence the type of actions you take.

Reviewed by: BM | Review date: 05/09/22 | Topic code: LTC-003