Due to exceptional demand this service is now closed to new referrals.
Thank you for your interest. All the best, Momenta
Welcome! This is a long webpage! However, it contains in one place the resources HCPs may need to identify and invite/refer eligible patients to the Cardiovascular Disease Prevention Programme (CPP). It is designed to be self-sufficient but you can also attend an education session or regular lunchtime drop-in if you have any questions or to find out more.
Referrals must be completed by June 21st 2023.
All relevant documents are available here for easy access. Searches and Referral templates are already available on many Practice systems.
Table of contents
Introducing the CVD Prevention Programme
Momenta’s targeted multi-component CVD Prevention programme supports eligible patients with hypertension or early-stage coronary artery disease to reduce their blood pressure and risk of progression to more serious conditions by making sustainable improvements to their diet, activity, weight and medication adherence. Co-developed with the NHS, with input from BHF, early weight loss, cholesterol, HbA1c, mental health and fitness outcomes are promising.
The programme comprises 18 one-hour group sessions delivered by trained Coaches over 9 months – either in-person on online. You can read more about the programme and patient journey in this document.
Participant feedback
Participants have shared reams of positive feedback – we have included a small subset here. You might find they help you explain the programme to your patients or just get a better feel for it:
Eligibility criteria
See below for quick reference for primary care inclusion and exclusion criteria.*
This information is repeated at the top of the Referral form (see below and on your Practice systems).
*Note: Chest Pain Clinic eligibility criteria vary
Referral and invitation options
We know that both primary and secondary care are under significant pressure. Therefore, with ICB colleagues we have outlined three ways you can support your patients to access the service – with resources / instructions below:
- Register search and invitation: The most efficient approach to reach large numbers this involves running a register search to identify eligible patients and inviting them to find out more about the programme and register if interested. Invitations can be sent by bulk text (AccuRx) or letter with a leaflet – latter is more expensive and takes longer but is typically twice as effective. We suggest you perform a manual screen for non-searchable eligibility criteria (e.g. pregnancy, ability to benefit from a group programme etc.) before inviting patients.
- Ad hoc: The most personal approach. If appropriate (e.g. at diagnosis, after a NHS Health Check, at a LTC review etc.) HCPs can offer to refer their patients to the programme directly using a Referral form.
- Signposting: We have sent A4 posters and trifold leaflets to display in waiting / consultation rooms – these signpost patients to find out more and register if interested. You can also use the Heart Health Check to support signposting – see below. Finally, if you would like to promote the service using social media channels we can provide a toolkit.
Relevant documents are in the sections below – and may be available on your systems.
You can download this Microsoft Word version of the Referral form for ease of viewing – or to complete manually and send to us by NHS.net email if you prefer.
EMIS search, invitation letter and referral form
These documents may already be available on your practice system – see the downloadable ‘CPP EMIS Guide…’ below for instructions of how to search for them. If they are not on your system please email Kathryn Brown at kathryn.brown50@nhs.net and she will ask your CSS to upload them for you.
- Searches: There are two searches – one returns patients with a BMI >=30 (higher risk) and the second returns additional patients with BMIs of 25-29.9
- Invitation letter: Relevant details auto-populate. We recommend sending a leaflet with letters. You can use the ones we sent your practice, request more or print your own (see below). See below for AccuRx text template.
- Referral form: Relevant details mostly auto-populate. Eligibility criteria and the destination email are repeated on the form.
SystmOne / TPP search, invitation letter and referral form
These documents are available on your practice system – see the downloadable ‘CPP TPP Guide How to locate…’ guide below.
- Searches: There are two searches – one returns patients with a BMI >=30 (higher risk) and the second returns additional patients with BMIs of 25-29.9
- Invitation letter: Relevant details auto-populate. We recommend sending a leaflet with letters. You can use one we sent your practice, request more or print your own (see below). See below for AccuRx text template.
- Referral form: Relevant details mostly auto-populate. Eligibility criteria and the destination email are repeated on the form.
Using AccuRx to contact patients
As noted above, the most time-efficient way to raise awareness amongst your patient population is to do a search, followed by an AccuRx message (like many practices do for the NHS Diabetes Prevention Programme, Healthier You)
Summary steps include:
– Run Register search to generate ‘longlist’
– Conduct manual screen against non-searchable eligibility criteria
– Send a bulk text message using AccuRx templates
– This will signpost them to https://momentanewcastle.com/cpp-bsol where they can find out more about the programme and sign up securely if interested.
Suggested wording for AccuRx text invitation – please amend as you like:
Screening by the practice has identified that you MAY be eligible for the FREE new Cardiovascular Disease Prevention Programme. This helps you reduce your risk of heart disease, lose weight and improve your blood pressure. For details see https://momentanewcastle.com/cpp-bsol
If you are interested, please sign up quickly as places are limited.
Notes to practice:
– We recommend you add the name of an individual e.g. well-known doctor or other HCP to the text as this will improve the response rate over a generic practice sign-off
– AccuRx automatically starts the message with, Dear (patient name)
– You can replace the url with this bitly link if preferred
Patient readiness
This kind of programme might not be acceptable or helpful to all eligible patients. If you are speaking to a patient who expresses interest it’s important for them to think carefully about whether this is the right type of support and the right time for them to take part.
For example, you could suggest they consider questions like:
How important their heart health is to them at this point in their life? Whether a group format appeals? Are they in a position to commit to attending 18 sessions over 9 months? If they are unsure it might not be the right approach or time to refer them.
Patient information and signposting
We have sent your practice 4 A4 posters and 15 trifold leaflets for waiting/consultation room display. If you would like more please email us – see below for details.
You can also download A4 PDF versions of the Patient Information Leaflet and Patient Information Poster to print locally or send electronically (e.g. using AccuRx).
Finally, in addition to the landing page referenced above, we have developed a public-facing website and self-registration page. These are referenced on the patient information leaflet but you can signpost patients here too:
Website: https://momenta.health/cpp
Education session for Primary Care staff - 3/5/23
The presentations and recordings will be available here in due course.
The MS Teams information for the session is here:
COMING SOON
Key contacts
Referrals
momenta.bsol-cpp@nhs.net
Kathryn Brown
Momenta Newcatle
Engagement Officer
Email: kathryn.brown50@nhs.net
Tel: 0121 289 2505
Corrie Gardiner
NHS Birmingham & Solihull
Long Term Condition Project Manager; CVD & Stroke
Email: lmomenta.bsol-cpp@nhs.net
Funders and partners
The CVD Prevention Programme (CPP) in Birmingham and Solihull is funded by the NHS, through SBRI and the Accelerated Access Collaborative.
The CPP is delivered by Momenta, working in partnership with NHS Birmingham and Solihull, the West Midlands Academic Health Science Network, Birmingham City Council, the British Society of Lifestyle Medicine and other partners.
The CPP was co-developed by Momenta with the South Eastern Health and Social Care Trust in Northern Ireland and input from the British Heart Foundation.
Momenta Heart Health Check
Complaints contacts and procedures
Complaints should be addressed to the Provider (Momenta Newcastle) and/or the CCG and/or the Commissioner (NHS England) as appropriate.
– Momenta Newcastle (Provider): complaints@momentanewcastle.com
https://momentanewcastle.com/complaints
– NHS England: england.diabetestreatment@nhs.net
Referring from a different area?
Momenta also provides the NHS Type 2 Diabetes Path to Remission Programme in other areas, each with their own referral forms, local contacts and minor differences. Please follow the links below for Referrer information from other areas: