Changing Cardiovascular Health National Cardiovascular Health Policy 2010 – 2019 MAY 2010 DEPARTMENT OF HEALTH AND CHILDREN Copyright © Minister for Health and Children, 2010 Department of Health and Children Hawkins House Hawkins Street Dublin 2 Tel: +353 (0)1 635 4000 Fax: +353 (0)1 635 4001 E-mail:
[email protected] Web: www.dohc.ie Published by Government Publications, Dublin ISBN 0-7557-7639-9 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the copyright holder. For rights of translation or reproduction, applications should be made to the Head of Communications, Department of Health and Children, Hawkins House, Hawkins Street, Dublin 2, Ireland. ContentS Minister’s Foreword vii Acknowledgements ix Membership of the Cardiovascular Health Policy Group x Executive Summary 1 Introduction to the Cardiovascular Health Policy (Chapter 1) 2 Cardiovascular Disease – Trends in Ireland (Chapter 2) 2 Prevention and Health Promotion (Chapter 3) 3 Primary Care (Chapter 4) 6 Hospital and Emergency Care Services (Chapter 5) 11 Cardiac and Stroke Rehabilitation and Continuing Care (Chapter 6) 22 Workforce Planning (Chapter 7) 28 National Framework for Quality in Cardiovascular Health (Chapter 8) 31 1. Introduction 35 Cardiovascular Health Policy Group 36 Background 36 A vision for cardiovascular health 37 Structure of report 38 2. Cardiovascular Disease – Trends in Ireland 39 Life expectancy and healthy life years 40 Cardiovascular disease 40 Heart failure 46 Peripheral arterial disease 47 Sudden cardiac death 48 Congenital heart disease and grown-up congenital heart (GUCH) disease 48 Diabetes 48 Cardiovascular targets and trends in risk factor prevalence 49 Explaining changes in cardiovascular mortality from 2000-2006 50 Population projections and emerging cardiovascular disease trends 51 Costs 51 Summary 52 3.