National service frameworks

BMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7326.1429 (Published 15 December 2001) Cite this as: BMJ 2001;323:1429

Framework's claim that GPs should devote more time to preventing coronary heart disease needs scrutiny

  1. A M Rouse, senior lecturer (A.M.Rouse@bham.ac.uk)
  1. Department of Public Health and Epidemiology, University of Birmingham, Birmingham B15 2TT
  2. Dementia Plus West Midlands, Wolverhampton WV4 4PQ

    EDITOR—The national service framework for coronary heart disease states that “additional coronary heart disease prevention activities … will consume time, effort and resource. Primary care teams will have to give careful consideration to how resources used on lower value and lower priority activities might be redirected to the high priority, high value treatments identified.”1 The framework does not give any evidence justifying the claim that traditional services are low value or quantify the benefit of high value treatments.

    Survival curves for patients registered with typical singlehanded general practitioner in northwest Lancashire (1996 data).

    CHD=coronary heart disease. NW=northwest

    I estimated the maximum benefit of activities aimed at reducing mortality by considering patients registered with a typical singlehanded general practitioner in northwest Lancashire because the area has the highest mortality from coronary …

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