Abstract
THE South Birmingham Coronary Prevention Project is described, in which health checks by practice nurses in GPs' surgeries are combined with direct patient access to a secondary referral system. Where appropriate, health check attenders are offered the choice of either counselling by the practice nurse, direct referral to their GP, or direct referral to second ary intervention, including dietary advice for patients with high serum cholesterol, stress manage ment training for mild hypertension, and smoking cessation groups run by specialist workers. Further developments of the project may be toward increas ing areas of nurses intervention, for example running lipid clinics, and combining with Look After Your Heart! in the workplace. Progress in each of these areas is described and discussed.
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