Contribution
It is a pleasure to serve under your chairmanship today, Dr Huq. I thank the hon. Member for Strangford (Jim Shannon) for securing this debate.
The publication of the 2026 cardiovascular disease modern service framework is a welcome step towards realising our commitment to a more preventative, community-focused health service. It rightly seeks to move care away from expensive and reactive hospital treatment towards earlier diagnosis and joined-up cardiovascular care in our communities. As we consider the future of vascular services, we should take this opportunity to go further and give attention to heart failure, where many of these conditions end. Heart failure places a significant burden on patients, families and the NHS. It affects more than 1 million people in the UK, and is the most common cause of hospital admissions among those over 65. The number of people living with heart failure is set to double by 2040.
Early intervention on a cardiovascular journey can do more than treat established diseases and the associated life-changing impacts that the hon. Member spoke about; it can also prevent more people from reaching heart failure. Evidence-based treatment can relieve symptoms, extend life and reduce hospital admissions, but patients can benefit only if the condition is recognised, diagnosed and treated without delay.
In my constituency, in towns such as Eastwood and areas such as Inham Nook, rates of heart failure are more than double the national average. People there are four times more likely to die from heart failure than those elsewhere. Access to diagnosis and specialist care varies from area to area, but no one’s postcode should determine how quickly they are diagnosed, when they see a specialist or when they receive treatment that could keep them well and out of hospital. The modern service framework must establish consistent national standards, with targeted support for deprived, rural and high-risk communities.
More than 1 million people are living with heart failure in the UK, with around 200,000 diagnosed each year. In England, 80% of diagnoses are made in hospital, despite 40% of the patients having previously experienced symptoms. That clearly demonstrates the urgent need to move from crisis-driven care to early diagnosis and planned treatment.
The modern service framework acknowledges that NHS health checks do not include the NT-proBNP blood test, which identifies whether the walls of the heart are stretched or there is a pressure overload on the heart. Although the framework proposes new testing models, valuable opportunities for early diagnosis such as that test can be missed. Heart failure must be explicitly mentioned in the modern service framework, and supporting measures must be clear, funded and measurable.
We also need stronger links between primary care, community services, hospitals and specialist centres. Those pathways need to be supported by a specialist workforce, as reform cannot simply mean reorganising structures. We need diagnostic capacity, specialist staff and community services; otherwise, pressure will just move from one part of the NHS to another.
I ask the Minister to make heart failure an explicit and measurable national priority within the modern service framework. That should include guaranteed access to testing, diagnosis, evidence-based treatment and multidisciplinary heart failure care, supported by investment in specialist staff, increased diagnostic capacity and community services. I hope the Minister will ensure that he goes further than considering reform of the vascular services and makes heart failure a national priority.