Reducing risk of recurrent coronary heart disease in Cornwall

BMJ 1999;319:853 ( 25 September )

Letters

Reducing risk of recurrent coronary heart disease in Cornwall

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EDITOR $---$ Bradley and Cupples end their editorial on reducing recurrent coronary heart disease by asking whether anyone has abetter idea of how to improve performance in this area¹ Earlierthey say that adequate resources would be needed to ensure a systematicapproach to the secondary prevention of coronary heart diseasein primary care and that primary care groups would be well placedto implement this. Such a scheme has begun in the Carrick PrimaryCare Group inCornwall.

For the next two years the British Heart Foundation will fund two liaison nurses to ease the discharge of coronary patientsfrom the Royal Cornwall Hospital into the community, as well asthe training of a lead nurse from each practice. The primary caregroup will give extra monies to each of their 13 practices fora scheme that includes creating a register of patients with coronaryheart disease, starting a . . . [Full text of this article]