Norfolk Cardiovascular disease prevention and management in community

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Summary of report content

Healthwatch Norfolk undertook research into whether people were able to act on messages to improve their chances of developing cardiovascular disease (CVD).  They asked over 800 local people about the non-pharmaceutical interventions they access, or have accessed, in the community to manage the physical lifestyle risk factors associated with long term disease. They also engaged with over 100 participants who attend rehabilitation and exercise classes (phase 3 and phase 4 cardiac rehabilitation) to find out how people with established CVD are supported so that their quality of life might be improved.


Healthwatch collected comments about the NHS health check – in particular to find out if those eligible are accessing their check and if not, why not. We were also interested in finding out the sort of advice health practitioners were offering during a consultation or routine appointment and how useful patients perceive it to be. They found that in order to make every contact count, brief messages about diet should be more concise, levels of physical activity better identified and more referrals made to community providers or exercise referral schemes.


The findings also suggest that phase 3 and phase 4 cardiac rehabilitation both have very distinctive roles to play in supporting individuals to make healthy changes to their lifestyle and maintain them, and that national programmes and providers, whilst offering interventions that reach a higher proportion of the local population, may increase rather than reduce socio-economic and gender inequalities.  


There are 6 recommendations about involving pharmacies in encouraging people to take up health checks, the content of routine health checks, how routine health checks could be made more accessible to working age men; how service provision should be evaluated and the need for further research.

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General details

Report title 
Norfolk Cardiovascular disease prevention and management in community
Local Healthwatch 
Healthwatch Norfolk
Date of publication 
Sunday, 1 January, 2017
Type of report 
Key themes 
Food and nutrition
Health inequalities
Health promotion
Holistic support
Information providing
Lifestyle and wellbeing
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Structured interview
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Primary care services 
Community pharmacy
GP practice
Community services 

Details about conditions and diseases

Conditions or diseases 
Cardiovascular conditions

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.