What should we be doing next?

The following challenges, barriers and risks have been identified for Newcastle/North of Tyne PCTs: 

1. There is a lack of consistent Local Implementation Team structure across North of Tyne. 
2. Opportunity to bridge gaps with new infrastructure (LNCC) and governance arrangements. 
3. Lack of primary care strategy across North of Tyne for the management of cardiovascular disease (CVD) maximising the use of Qualifty Outcomes Framework data in a manner to drive quality improvement. 
4. Multiplicity of CVD pathways. 
5. Lack of engagement with primary care (restructuring of primary care lead GPs).