8.2 Jurisdictions

This section provides an overview and summary of the policy context within each jurisdiction and of the programs and strategies that contribute to the critical intervention points, as specified in the National Service Improvement Framework for Heart, Stroke and Vascular Disease.

The jurisdictional information outlined in this section is based on a reporting template, developed by Ernst & Young and completed by each jurisdiction. Northern Territory and Tasmania were unable to respond to the survey.

8.2.1 Overview of State and Territory activity in relation to the critical intervention points

There are a large number of policies, programs and strategies across the states and territories that are aligned to the critical intervention points. From the information available, this alignment is dispersed across the five groupings of critical intervention points: reduce risks; early detection, care and support; best care and support for acute episodes; best long-term care and support; and best care in the advanced stages; with an increased concentration of individual programs and strategies in the reduce risk and acute episode groupings. Table 4 provides an overview of the types of policies and strategies across the states and territories.

Table 4 Overview of strategies and polices across states and territories

Critical Intervention Points	Overview of programs and strategies
	Specific (primarily targeted to specific critical intervention points	General (contribute across critical intervention points)
Reduce risks	Health and well-being plans Healthy lifestyle (including physical activity and diet) Tobacco control strategies Healthy weight Education	Primary care partnerships Clinical guidelines and pathways Chronic disease prevention and management Chronic care programs Training programs, up-skilling, scholarships and workforce development Cardiology services/networks
Early detection	Disease registers Outreach programs
Acute episode	Stoke units Cardiac investigation services Coronary care units Cardiac rehabilitation Chronic disease self-management Heart failure clinics/services
Long term	Disease management programs Cardiac rehabilitation Chronic disease self-management Care planning
Advanced stages	Advanced care planning Palliative care strategies

Detailed information on programs and policies within each jurisdiction is contained in Appendix D