Abstract
There are health inequalities in distribution of coronary heart disease (CHD). The National Service Framework (NSF) for CHD sets national clinical and organisational standards, defines service models, and establishes performance indicators. The four waves of the primary care collaborative have shown that, by offering structured and systematic care, secondary prevention can be improved. The basic remit of primary care trusts is to improve the health of their population, to provide access to appropriate services, and to integrate these services.
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