The House

Dear Prime Minister

- Yours sincerely, Dr Charmaine Griffiths Chief Executive

On behalf of the nation’s leading heart charity, I’d like to offer congratula­tions on your appointmen­t. Representi­ng the 7.6 million people living with heart and circulator­y diseases, the British Heart Foundation urges you to work with us in the pursuit of a healthier nation.

Cardiovasc­ular services were already under immense pressure before the pandemic, with mounting backlogs and persistent workforce shortages exacerbati­ng this, and existing inequaliti­es widening. A recovery to pre-pandemic levels is not enough to build a future free from the fear of heart and circulator­y diseases. We must do better, go faster, reach further

– it is no exaggerati­on to say that people’s lives are on the line right now.

Getting the NHS back on the front foot

We welcome that tackling access to care is one of your top three priorities. From primary care through to A&E, the impact of the Covid-19 pandemic has stretched every part of our NHS to the limit.

A staggering 337,000 people are on the waiting list for cardiac care today, a number that has risen for 25 consecutiv­e months. To ensure heart patients get the care they so desperatel­y need, we must boost the health workforce to tackle waiting lists. Pledges to increase the retention of doctors, and to entice health workers to return to the NHS, are welcome – but more is needed. The upcoming NHS workforce strategy must be accompanie­d by the funding required to address shortages in the cardiac workforce.

Supercharg­ing research and developmen­t (R&D)

The BHF has funded over £1 billion of research into heart and circulator­y diseases since 2010, and helped halve the number of people dying from them in the UK since we were founded in 1961. The pioneering research we fund turns science fiction into reality, but we can only do this if the UK continues to have a world-leading, thriving research environmen­t, with charity research funders like the BHF at its heart.

Medical research charities fund high-risk, high-reward research that attracts world-class talent and drives growth – for every £1 million charity funders spend on R&D in the UK, £1.83 million is added to the economy. We urge you to keep pushing for UK associatio­n with Horizon Europe, and commit to investing a minimum of 2.4% of GDP in research.

Bold interventi­ons to tackle the causes of ill health

To build a healthier and more resilient population, we need a renewed focus on preventing the factors that increase someone’s risk of developing heart and circulator­y diseases, which still kill one in four people in the UK today. Foremost among these are obesity and smoking. Prevention must be a priority if we are to see an increase in healthy life expectancy. This must, however, take the form of bold interventi­ons to address our obesity crisis, and help reach a Smokefree England by 2030, rather than a focus on personal risk reduction.

We look forward to working with you to safeguard our nation’s health – now and in the future – and harness the UK’s vast research potential. Together, we can move closer to a world without fear of heart and circulator­y disease.

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