Improving the prevention and management of chronic disease within health systems
The purpose of this work programme is to identify, understand and promote cost-effective interventions to prevent and manage chronic disease within health systems. This includes studies examining the contribution of primary health care to improving patient outcomes, population health, and overall health system efficiency. Our UK based work includes evaluating the impact of the NHS Health Checks, which is the largest cardiovascular risk assessment programme in the world. International work includes evaluating the impact of the Brazilian Family Health Programme (Estratégia Saúde da Família) on mortality and understanding the impact on equity. More recently we have been working with the United Nations Relief and Works Agency (UNRWA) to identify contextual relevant interventions to reduce the growing burden of chronic disease in the Palestinian population.
The impact of primary health care on inequalities in patient outcomes and health system efficiency, evaluating the potential role of cardiovascular risk assessment programmes in reducing morbidity and mortality, implications of multi-morbidity for health systems in middle income countries.
Country focus: England, India, Brazil, China, UNWRA
Evaluation of English NHS Health Check programme, on its national coverage and inequalities in attendance; effectiveness on changes in 10-year cardiovascular risk and individual cardiovascular risk factors; impact on medication prescribing and vascular disease diagnosis; and overall cost-effectiveness. Our early findings showed some evidence of inequalities in attendance, and low rate of prescribing in primary care. This work has been shared with colleagues at the Department of Health and Publish Health England in light of improving and maintaining the programme.