14. Implementation Recommendations

• All patients with established CVD should have access to evidence based prevention/rehabilitation programmes addressing lifestyle, risk factor management and adherence to drug therapies.
• A national screening programme for ascertainment of FH cases should be supported including cascade screening and specialist referral.
• The JBS3 approach linked to NHS Health Check should be used to promote better uptake of lifestyle improvements (and where required drug therapy) in primary care. This should include development of a CVD prevention strategy for individuals who despite low short-term risk are found to have a high lifetime risk of developing CVD and its complications.