Saving lives and livelihoods: Heart Foundation Pre-Budget Submission 2021-22 Victorian Government Pre-Budget Submission 2021-22 - The Heart ...
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Victorian Government Pre-Budget Submission
2021-22
Saving lives and livelihoods:
Heart Foundation Pre-Budget Submission 2021-22
BUDGET SUBMISSION FOR THE VICTORIAN BUDGET 2021-22
FROM THE NATIONAL HEART FOUNDATION OF AUSTRALIA
Contents
Message from the CEO 3
Summary of Actions 4
Action Area 1:
Supporting medical research and innovation – and the workforce who undertake it 5
Action 1a): Cardiovascular disease (CVD) project grants 6
Action 1b): Victorian Health and Medical Research Strategy 6
Action Area 2:
Reducing CVD risk by supporting healthy lifestyles, especially among vulnerable Victorians 7
Action 2: Tobacco retailer licensing scheme 7
Action 3: Creating healthy built environments 7
Action 4: Digitally-enabled healthcare 8
Action Area 3:
Strengthening support for people living with CVD 9
Action 5: Heart Foundation’s My Heart, My Life 9
Action 6a: Cardiac rehabilitation awareness 10
Action 6b: Remotely-delivered cardiac rehabilitation 10
References 11
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
2 SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22
Heart disease is the single leading cause
of death in Victoria. More than 300,000
Victorians live with heart disease and
approximately 6,844 people die every year.
Kellie-Ann Jolly, Chief Executive Officer, Victoria
National Heart Foundation of Australia
Saving lives and livelihoods:
Heart Foundation Pre-Budget Submission 2021-22
COVID-19 has shone a light on our healthcare system and tested healthcare delivery models nationwide.
It impacted how we live, where we work, what we eat, where we go, how we use different services, and
even who we can talk to. System-wide challenges such as the vaccine rollout and managing possible
outbreaks remain.
Yet Victoria has made great strides in managing the pandemic and is beginning to embark on its physical,
mental and economic recovery.
Importantly, now is the time to re-prioritise heart health.
Number one cause of death
Heart disease is the single leading cause of death in Victoria. More than 300,000 Victorians live with heart
disease and approximately 6,844 people die every year.1 Around 95,742 Victorians are hospitalised yearly.2
Worryingly, pre-COVID, over one in three patients were skipping vital heart checks such as blood pressure
and cholesterol assessments.
COVID-19 will only increase the number of future cardiovascular disease (CVD) deaths and hospitalisations
because it led to CVD management being deprioritised 3:
Heart Foundation market research shows up to one in three people with, or at risk of, heart disease
skipped or delayed visiting a GP 4
There were delays in seeking emergency care for heart attacks and strokes 5
Less elective surgery was performed.
Life during COVID-19 also led to increased sedentary lifestyles, a critical CVD risk factor that may increase
CVD patient numbers.6,7
Nonetheless, our pandemic recovery is an opportunity to build back better. We can improve our health
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
system and ensure it is future-ready.
This submission outlines practical, cost-effective actions to save lives and money. They are evidence-based
and designed to help realise current and planned policy initiatives.
We would welcome opportunities to partner with Government on these actions and other initiatives to
continue to save lives by fighting heart disease – Victoria’s single biggest killer.
Yours sincerely
Kellie-Ann Jolly
Chief Executive Officer, Victoria
SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22 3
SUMMARY OF ACTIONS
Action Area Action
Supporting medical research and Action 1a): Save lives by partnering with the Heart Foundation
innovation – and the workforce who to deliver high-impact heart health research through three $300K
undertake it cardiovascular disease project grants over three years
Action 1b): Develop a new Victorian Health and Medical
Research Strategy with an increased cardiovascular disease focus
[cost neutral]
Reducing CVD risk by supporting Action 2: Better protect vulnerable Victorians by implementing a
healthy lifestyles, especially among tobacco retailer licensing scheme [cost neutral]
vulnerable Victorians Action 3: Commit $600K to creating healthy built environments by
funding public transport and pedestrian infrastructure, including
20-minute neighbourhoods
Action 4: Create the conditions for digitally-enabled healthcare
for those who need it most [existing programs plus $200K]
Strengthening support for people Action 5: Support vulnerable Victorians by funding
living with CVD implementation of the Heart Foundation’s My Heart, My Life
project in Victorian hospitals [$85K yearly for three years]
Action 6: Reduce hospital admissions and improve patient
outcomes by:
a) Partnering with the Heart Foundation to increase awareness of
cardiac rehabilitation and its benefits amongst cardiologists
[$60K]
b) Leveraging ‘Better at Home’ to pilot remotely-delivered cardiac
rehabilitation options for rural and regional Victorians [existing
funds]
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
4 SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22
Action Area 1:
Supporting medical research and
innovation – and the workforce
who undertake it
The opportunity
Facilitating high-impact research is critical to improving
the prevention and treatment of cardiovascular disease*
(CVD).
Tragically, CVD kills one person every 12 minutes.8 It
causes 1600 daily hospitalisations and costs hospitals $5
billion each year.9
Victoria’s Lead Scientist and the Australian Council
of Learned Academies jointly showed the research
ecosystem is also key to Victoria’s post-COVID economic
recovery.10
Victoria relies on medical research and development to
create jobs, generate inbound investment and support
local SMEs. It:
employs over 43,000 workers across research
organisations and the commercial sector
delivers $1.5 billion in yearly exports11 – 47 per cent of
Australia’s total pharmaceutical products
generates over US$12 billion in economic activity.12
We are world-leading, with Melbourne being one of only
three cities to have two universities in the global top 20
biomedical rankings.
Investing in our world class researchers saves money, with
NHMRC-funded CVD workforce investment returning $9.80
per dollar spent – the highest return for any condition.13
Yet COVID-19 has devastated the research eco-system.
It has shut down and delayed clinical trials, reduced the
activities of medical research institutes and Universities,
and now risks us losing high-quality researchers and their
experience from the industry.14,15
We welcomed the Government’s appointment of
Victoria’s first Minister for Medical Research in June 2020
NATI O NAL H E ART F O U NDATI O N O F AU STRALI A
and its 2020-21 Budget commitments of $210 million for
medical research and $2 billion for the Breakthrough
Victoria Fund.
Continued, well-targeted research investment is needed
to drive Victoria’s economic recovery, re-build the CVD
research eco-system post-COVID, and deliver life-saving
medical discoveries.
The imperative to better understand, treat and prevent
CVD has never been stronger.
…more widespread use of AEDs
will undoubtedly
* Cardiovascular disease (CVD) is improve
an umbrella term out
that of
includes heart,
stroke and blood vessel diseases, and is one of Australia’s largest
hospital
health problems. cardiac
It accounts for arrest
one in four outcomes
2
. the
of all deaths, claiming
life of one person every 12 minutes.
CONTINUING THE FIGHT FOR QUEENSLAND
SAVINGHEARTS
LIVES AND
- HEART
LIVELIHOODS:
FOUNDATION
HEART
SUBMISSION
FOUNDATION
TO THE
PRE-BUDGET
QUEENSLAND
SUBMISSION
BUDGET 2021-22 5
Action 1: By supporting the Heart Foundation’s commitment to
funding high impact CVD research, the Government can
a) Save lives by partnering with the Heart Foundation
help us have an even greater impact on Victorians’ heart
to deliver high-impact heart health research through
health.
three $300K cardiovascular disease project grants
over three years Victoria has been hard hit by COVID-19 and these
projects would help save lives, reduce hospital
b) Reinvest in a new Victorian Health and Medical
admissions, and help get our CVD research sector back
Research Strategy with an increased CVD focus
on track.
[cost neutral]
We would also welcome opportunities to advise on the
1a) Save lives by partnering with the Heart Foundation
implementation of recent announcements to help ensure
to deliver high-impact heart health research through
existing funds support a reduction in heart-related deaths
three $300K cardiovascular disease project grants over
and hospitalisations.
three years
1b) Reinvest in a new Victorian Health and Medical
The Heart Foundation has invested over $670 million (in
Research Strategy with an increased CVD focus [cost
today’s dollars) into CVD research, leading to critical life-
neutral]
saving breakthroughs such as the pacemaker.
We support development of a new Health and Medical
We would welcome working together with Government
Research Strategy that builds on Healthier lives, stronger
to increase the investment in CVD research, which may
economy: Victoria’s Health and Medical Research
involve:
Strategy 2016-20.
Innovative project grants focusing on knowledge and Following the expiry of the previous strategy and the
treatment gaps
challenge of COVID-19, there is an opportunity to reset
Co-designing these grants and their areas of focus – our medical research agenda and also leverage
possibilities could include: advances in a range of medical technologies and
• Improving health outcomes for disadvantaged treatments.
communities and populations – what works and The strategy would provide a framework for further
what doesn’t development of our medical research sector.
• Developing an evidence-base for CVD digital health The new strategy should have an increased CVD focus
impacts on rural and regional Victorians given CVD is responsible for the second highest burden
• Examining enhanced absolute risk prediction by of disease.
moving beyond basic biological models and tools We would welcome opportunities to partner with
to improving individualised disease risk assessments Government to help develop the new strategy.
(genomics, proteomics, etc).
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
6 SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22Action Area 2:
Reducing CVD risk by supporting
healthy lifestyles, especially
among vulnerable Victorians
The opportunity Around 83 per cent of Victorians support retail tobacco
licenses.25
Sadly, social and economic disadvantage matter for your
heart. Further, La Trobe University recently showed almost half of
tobacco retailers in an unnamed regional Victorian Local
Victorians in the state’s most disadvantaged areas
Government Area were likely operating with no formal
are more likely to have significant CVD risk factors, be
government oversight.26
hospitalised for a heart attack or die from coronary heart
disease. We recommend Government deters inappropriate
tobacco sales by developing a legislated tobacco
A key risk factor – physical inactivity – in Melbourne’s
retailer license scheme. Potential benefits and features
western region is almost 30 per cent higher than across
include:
the Westgate Bridge in the city’s inner east, which is the
lowest. Helping enforce tobacco control measures, such as
preventing sales to children and banning POS displays
Nonetheless, CVD is largely preventable, with modifiable
CVD risk factors accounting for up to 90% of the risk of Recording addresses of sellers to enable
heart attacks.16 communication about regulatory requirements and
compliance checking
COVID-19 has also expedited healthcare delivery
models that may help improve the health of vulnerable Fees paid by retailers for licences can fund this
communities. monitoring.27
Action 2: Action 3:
Better protect vulnerable Victorians by implementing a Commit $600K to creating healthy built environments
tobacco retailer licensing scheme [cost neutral] by funding public transport and pedestrian
infrastructure, including 20-minute neighbourhoods
We applaud the work of successive Victorian
governments to reduce smoking rates of Victorian adults Walking for an average of 30 minutes a day can lower
from 19.9% in 2001 to 10.6% in 2019.17 the risk of heart disease, stroke and diabetes by 30% to
40%. It is free and generally accessible.
However, tobacco is still the single largest cause of
preventable death and disease in Australia. Over one Our COVID-19 recovery should include facilitate people
third of CVD deaths aged < 65 can be attributed to being physically active again, such as by building safe,
smoking.18 accessible and wide footpaths.
Concerningly: We welcomed the Government’s $120,000 grants
late last year for three councils to build ‘20-minute
Over 50% of heart attack survivors who smoked prior to
neighbourhoods,’ where most facilities are within walking
their heart attack continue to smoke19
distance from a person’s home. This will help drive their
Around 30% of all cases of heart disease in those COVID-19 recoveries by supporting local jobs and local
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
under 65 years are due to smoking20 businesses, and creating healthier neighbourhoods.
Rates remain high in some vulnerable populations We suggest:
North West Victoria’s smoking rate of 22.2% is Australia’s Implementing the recommendations of the ‘20-minute
highest, and more than double that of Melbourne’s neighbourhood’ pilot program.
more affluent inner east region.21
Delivering more 20-minute neighbourhood pilot
A missing piece in Victoria’s tobacco control puzzle is sites, starting with lower socio-economic areas in
tobacco licensing, where retailers must apply and pay a Melbourne’s outer growth suburbs.
fee for a license to allow them to sell tobacco products.22
The Heart Foundation was part of the first pilots and
Licensing can reduce the access and availability would welcome opportunities to discuss continuing this
of cigarettes. High license fees are also a potentially partnership.
effective method of reducing tobacco points of sale.23
Most states and territories have a licensing scheme.24
SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22 7Action 4:
Create the conditions for digitally-enabled healthcare
for those who need it most [existing programs plus
$200K]
Digital health is a rapidly growing frontier in healthcare
delivery.
COVID-19 has accelerated telehealth uptake, with 29.6
million Medicare-eligible telehealth services delivered to
10.4 million patients between 13 March and 9 September
2020.^
Evidence from the Royal Prince Alfred Hospital (Sydney)
Virtual Hospital shows the strongest evidence for effective
virtual care was for heart disease patients.28
To ensure evidence-based rollout and that regional
and rural Victorians – and those in low socioeconomic
areas – reap the benefits but are also not left behind,
Government should:
Address inequities in internet access and digital
literacy. The $625.8 million Digital Futures Now program,
which Government has noted is ‘an unprecedented
investment in digital infrastructure and skills, particularly
in regional Victoria’ should include improving digital
health access and literacy as one of its aims.
Trial Hospital in the Home models focusing on cardiac
care in regional centres, through the Victorian
Government’s recent $120.9 million ‘Better at Home’
commitment to meet “growing demand for healthcare
through increased delivery of hospital services in
patients’ homes” and support ‘the development of
new models of 21st century care.’29
Deliver culturally appropriate communications.
COVID-19 has shown the importance of localised,
culturally appropriate communication in multiple
languages.
Deliver community-appropriate solutions, by funding a
study to determine local, evidence-based digital health
needs of cardiac patients in Western Districts and
Gippsland [$200K].
This would align with the ‘Public Health Interventions’
priority area in the Federal Medical Research Future
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
Fund, which was recently changed to note that ‘equity
of access to healthcare will benefit with a focus on the
increased role of remote care interventions through
mobile, telehealth and digital health.’
^ https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/
digital-health-skills-and-training-more-important-than-ever-296-million-
telehealth-services-delivered
8 SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22Action Area 3:
Strengthening support for people
living with CVD
The opportunity This funding would support:
On average, one person is admitted to hospital every Engagement and enrolment of all cardiology
nine minutes with a heart attack.30 interventional hospitals as well as rural/regional
coronary care units in the MHML program
They are a confronting, life-changing experience that can
seriously affect a person’s quality of life. Refining and updating current MHML resources
Without proper management, heart attack survivors are This would include marketing, resource costs, printing/
at greater risk of having a second attack and dying. resourcing/distribution, and evaluation. FTE would be
covered by the Heart Foundation.
Survivors confirm they fear having another attack, dying,
not being able to return to ‘normal’ family life, and work Through this partnership, we can help vulnerable
and financial challenges. They often underestimate the Victorians recover from the physical and mental scars of
support they need to return to a normal life. a heart attack, and prevent future hospital visits.
Participants with heart disease in the Heart Foundation’s
support and care programs have reported COVID-19 has Action 6:
created even greater emotional stress, because they are
Reduce hospital admissions and improve patient
at greater risk.
outcomes by:
We need to better help people living with CVD, by
a) Partnering with the Heart Foundation to increase
ensuring that they have access to information and
awareness of cardiac rehabilitation and its benefits
support to manage their condition and improve their
amongst cardiologists [$60K]
quality of life.
b) Leveraging ‘Better at Home’ to pilot remotely-
delivered cardiac rehabilitation options for rural
Action 5: and regional Victorians [existing funds]
Support vulnerable Victorians by funding Cardiac rehabilitation* aids recovery from cardiac events
implementation of the Heart Foundation’s My Heart, My and procedures, and minimises the risk of subsequent
Life project in Victorian hospitals [$85K yearly for three cardiac events. It is proven to keep patients out of
years] hospital and reduce deaths.32
A heart attack is a major life event with significant Despite this, only 30% of patients are referred to a cardiac
physical and mental repercussions for patients and their rehabilitation program.33
families.
Healthcare professionals often play a critical role in
Feeling down after a heart attack is so common there’s a patient participation in cardiac rehabilitation by referring
name for it: ‘the cardiac blues’. Rates of major depressive patients to local services.
disorder of around 15% have been reported in people
Regular monitoring and reporting of the quality and
after a heart attack or coronary artery bypass grafting.31
delivery of cardiac rehabilitation by services across
My Heart, My Life (MHML) is an evidence-based Heart
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
Victoria would help drive service improvement.
Foundation program to engage people hospitalised with
a heart attack or angina, and their carers, in a free six-
month patient support journey.
A comprehensive and successful pilot in partnership with
38 hospitals received positive feedback and has resulted
in a recently finalised ready-to-go program. It includes
structured support from the Heart Foundation Helpline
team.
A Government investment of $85K (cost of support journey
is $22pp) for three years will allow us to quickly deliver * Cardiac Rehabilitation is an education program offered to patients
diagnosed with heart disease, which includes components of health
support offerings and journeys for priority populations, education, advice on cardiovascular risk reduction and physical
and can be co-branded with the Government. activity.
SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22 96a) Partnering with the Heart Foundation to increase
awareness of cardiac rehabilitation and its benefits
amongst cardiologists [$60K]
Cardiac rehabilitation is an effective intervention34 but is
underutilised.
Increasing referral rates in Victoria from 30% to 65%
would result in net Victorian financial savings of $86.7
million, and savings in social / economic costs of $227
million over 10 years.35
It would also lead to a 34% reduction in hospital
readmissions and a 26% mortality reduction.36
We recommend Government partner with the Heart
Foundation to launch an education programme to
cardiologists to increase awareness and promote
uptake.
The Heart Foundation has an extensive cardiologist
network and in-house expertise. The funding would
cover program marketing and the roll-out of education
modules already developed with Government support.
6b) Leveraging ‘Better at Home’ to pilot remotely-
delivered cardiac rehabilitation options for rural and
regional Victorians [existing funds]
We strongly suggest Government use part of the $120.9
million ‘Better at Home’ initiative announced on 14
November 2020 – which includes rehabilitation – to pilot
remotely-delivered cardiac rehabilitation options for
regional and rural Victorians.
We are encouraged that the Minister for Health said:
“Expanding the Better at Home program will mean
many patients, particularly in regional Victoria will
have better outcomes because they can recover
or do their rehab in the comfort and familiar
surroundings of their own home”
We urge Government to ensure cardiac rehabilitation is
part of this vision.
Our Australian Heart Maps online data shows regional
and rural heart health outcomes are lower than metro
Melbourne. For example, the hospitalisation rate for heart
attack and coronary heart disease in the Shepparton
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
region is around 70 per cent higher than the state’s
lowest region – Melbourne’s inner east.
The pilot will help deliver high-impact services to those
who need it. Improving referrals would be a key focus.
It would also enable development of a data collection
strategy that identifies regional and rural needs and
drives future improvements.
10 SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22References
1 Australian Bureau of Statistics 2019, Causes of Death 2018, cat. no. 3303.0, September
2 Australian Institute of Health and Welfare 2020, National Hospital Morbidity Database, custom data request.
3 VicHealth 2020, https://www.vichealth.vic.gov.au/be-healthy/why-you-need-to-keep-your-medical-appointments-during-
coronavirus.
4 Heart Foundation 2020 - Centre for Heart Health Insights: HeartWatch COVID Impact Report.
5 https://www.theage.com.au/national/cancer-screening-rates-plummet-during-pandemic-20201007-p562u5.htm
6 VicHealth 2020, https://www.vichealth.vic.gov.au/-/media/ResearchandEvidence/
VicHealthResearchFellows_2011/20200914_VicHealthVictorian_Coronavirus_Wellbeing_Impact_Study_Report.
pdf?la=en&hash=27CB25E7BAAB7D673A81ED5CF46C5E75FB98B288
7 Heart Foundation, Aussies Working from Home Walking Less: https://www.heartfoundation.org.au/media-releases/new-survey-
aussies-working-from-home-walking-less
8 Australian Bureau of Statistics 2020, Causes of Death 2019, cat. no. 3303.0, October
9 Australian Institute of Health and Welfare 2019, National Hospital Morbidity Database (NHMD); Australian Institute of Health and
Welfare 2017, Australian Health Expenditure – demographics and diseases: hospital admitted patient expenditure 2004-05 to 2012-
13, Supplementary tables, Health Expenditure and Welfare series no. 59, cat. No. HWE 69
10 https://acola.org/stimulating-science-research-ecosystem/
11 https://global.vic.gov.au/victorias-capabilities/industry-sectors/medical-technologies-biotechnology-and-pharmaceuticals/
overview
12 https://www.invest.vic.gov.au/opportunities/medical-technologies-biotechnology-and-pharmaceuticals/victorias-strengths
13 Deloitte Access Economics 2016, Australia’s Health and Medical Workforce: https://www2.deloitte.com/content/dam/Deloitte/
au/Documents/Economics/deloitte-au-economics-australias-health-and-medical-research-workforce-071116.pdf
14 https://www.sydney.edu.au/news-opinion/news/2020/08/25/covid-19-disrupting-clinical-trials--changing--essential--cancer.html
15 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31787-6/fulltext
16 https://www.heartfoundation.org.au/health-professional-tools/cvd-risk-calculator
17 Australian Institute of Health and Wellbeing 2019, National Drug Strategy Household Survey 2019: https://www.aihw.gov.au/
reports/illicit-use-of-drugs/national-drug-strategy-household-survey-2019/data
18 Banks, E., Joshy, G., Korda, R.J. et al. Tobacco smoking and risk of 36 cardiovascular disease subtypes: fatal and non-fatal
outcomes in a large prospective Australian study. BMC Med 17, 128 (2019). https://doi.org/10.1186/s12916-019-1351-4
19 Heart Foundation. Heart Attack Survivor Survey 2018 (internal)
20 https://www.quit.org.au/resources/fact-sheets/deaths-and-disease-smoking/
21 https://www.heartfoundation.org.au/media-releases/shepparton-region-tops-state-for-heart-hotspots
22 Cancer Council Victoria 2021, https://www.tobaccoinaustralia.org.au/chapter-11-advertising/11-9-retail-promotion-and-access
23 Cancer Council Victoria 2021, https://www.tobaccoinaustralia.org.au/chapter-11-advertising/11-9-retail-promotion-and-access
24 Cancer Council Victoria 2021, https://www.tobaccoinaustralia.org.au/chapter-11-advertising/11-9-retail-promotion-and-access
25 https://www.quit.org.au/news/study-reveals-alarming-lack-government-regulation-tobacco-products-victoria/
26 Quit Victoria, https://www.quit.org.au/news/study-reveals-alarming-lack-government-regulation-tobacco-products-victoria/
27 Cancer Council Victoria 2021, https://www.tobaccoinaustralia.org.au/chapter-11-advertising/11-9-retail-promotion-and-access.
28 https://www.saxinstitute.org.au/news/virtual-hospitals-a-new-way-to-ease-healthcare-burdens/
NATI O NAL HE ART FO U N DATI O N O F AU STR ALIA
29 https://www.premier.vic.gov.au/better-home-more-support-recover-home>
30 https://www.heartfoundation.org.au/conditions/heart-attack
31 Colquhoun D, Bunker S, Clarke D, Glozier N, Hare D, Hickie I et al. Screening, referral andtreatment for depression in patients with
coronary heart disease. Med J Aust. 2013;198(9):483-48
32 Heart Foundation: https://www.heartfoundation.org.au/recovery-and-support/cardiac-rehabilitation
33 Heart Foundation: https://www.heartfoundation.org.au/programs/advocacy-cardiac-rehabilitation
34 Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, Taylor RS. Exercise-based cardiac rehabilitation for coronary
heart disease. Cochrane Database of Systematic Reviews 2016, Issue 1. Art. No.: CD001800. DOI: 10.1002/14651858.CD001800.pub3.
Accessed 21 December 2020
35 Economic and Social Impact of Increasing Uptake of Cardiac Rehabilitation Services – A Cost Benefit Analysis, Elaine De Gruyter,
Greg Ford, Bill Stavreski
36 Driscoll A, Hinde S, Harrison A, et al. Estimating the health loss due to poor engagement with cardiac rehabilitation in Australia.
International J of Cardiol 2020 May 3; 317: 7-12. doi.org/10.1016/j.ijcard.2020.04.088.
SAVING LIVES AND LIVELIHOODS: HEART FOUNDATION PRE-BUDGET SUBMISSION 2021-22 11For heart health information and support, call our Helpline on 13 11 12 or visit heartfoundation.org.au For further information contact: Andrew Mosley Advocacy Manager VIC/TAS Level 2, 850 Collins Street, Docklands VIC 3008 E: andrew.mosley@heartfoundation.org.au T: 03 8667 5151 © 2021 National Heart Foundation of Australia, ABN 98 008 419 761 (Heart Foundation) Terms of use: This material has been developed for information and educational purposes only. It does not constitute medical advice. Please consult your health care provider if you have, or suspect you have, a health problem. The information contained in this material has been independently researched and developed by the Heart Foundation and is based on the available scientific evidence at the time of writing. It is not an endorsement of any organisation, product or service. The Heart Foundation and its employees do not accept any liability, including for any loss or damage, resulting from the reliance on the content, or in regards to its accuracy, currency and completeness. Any use of Heart Foundation material by another person or organisation is done at the user’s own risk. This work, except as identified below, is licensed by the Heart Foundation under a Creative Commons Attribution – Non commercial – No Derivative Works (CC BY-NC-ND) 4.0 licence. To view a copy of this licence, visit: http:// creativecommons.org.au/. You are free to copy and communicate this publication (however in no way commercialise the material), in accordance with the rules of attribution set out at https://creativecommons.org.au/learn/howto/. Third party material that is not licenced under a Creative Commons licence may be referenced within this document. All content not licensed under a Creative Commons licence is all rights reserved. Please contact the relevant third-party copyright owner if you wish to use this material. The Heart Foundation acknowledges the Traditional Owners and custodians of Country throughout Australia and their continuing connection to land, waters and community. We pay our respect to them and their cultures, and Elders past, present and future. HH-SCPE-0013.1.0321
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