The introduction of a routine monitoring system in primary care for patients with a first episode of cardiovascular disease

A study at a group general practice in the English midlands found that heal th promotion advice had not been routinely provided to some patients with c ardiovascular disease and stroke. The purpose of this project therefore was to introduce a monitoring system to ensure that health promotion issues we re covered systematically with patients following a first episode of cardio vascular disease. Patients with a first episode of a relevant condition wou ld be identified by an automated search on the practice database, and conta cted by the health visitor. A checklist would ensure that all appropriate i ssues were covered. The system was easily introduced at the practice and no difficulties were experienced with its administration. A total of 62 patie nts were seen during the year. A substantial number of secondary prevention issues were addressed through advice and information leaflets. The project was felt to be a useful addition to care by the workers involved. Although some of the issues may have been addressed in routine care, early organize d nurse contact ensures systematic coverage and early referrals where neces sary, as well as potential psychological benefit to patients.