Tackling Health Inequalities in Haringey: Healthy Hearts

Health inequalities impact large communities of people in areas like Haringey, which has some of the highest levels of deprivation in north central London. The work teams like the Community Heart Failure Team directly tackles some of the health inequalities faced by people with heart failure.

 The Community Heart Failure Team proactively contacts GP surgeries in Haringey to identify those with heart failure who may not be receiving the necessary treatment. Patients are then triaged to determine whether they are on the correct medication, engaging with their healthcare providers, or at risk of deterioration. If concerns arise, the team reaches out directly - by phone, home visits, or through community events to ensure these individuals receive the care they need.

 "Health should be equal for all. If we were not engaging with these patients, no one would be looking out for them," says Garen Iyyanadan, Lead Heart Failure Clinical Nurse Specialist. "Many are discharged simply because they miss appointments, but we take the time to understand why, whether it's due to language barriers, financial difficulties, or fear of their condition. By addressing these issues, we help people access the care they need."

 Garen reflected on how language has been one of the biggest challenges for the team, with many patients struggling to understand appointment letters or medical advice. To combat this, the team utilises interpreters and bilingual staff to ensure communication is clear.

 The team regularly attends community events, shelters, and outreach sessions. They have partnered with various voluntary care sector organisations such as Arsenal Football Club, the Somali coffee morning group and Turkish community group, to run health check-up sessions, where attendees can have their blood pressure and heart rate monitored. These events provide opportunities to detect early signs of heart failure and encourage patients to seek further medical support in an environment that is familiar to them. They also have open links for easier referrals with The Grove (drug and substance misuse), Mulberry Junction (for homelessness) and HAGA (alcohol rehab service).

 Education is at the heart of the project. Patients are taught how to manage their condition effectively, including recognising warning signs, adjusting their medication, and making lifestyle changes. "I've seen many patients who initially thought they were going to die completely turn their lives around. One patient, who used to be a frequent visitor to A&E due to heavy drinking, is now managing their condition well and has significantly reduced their alcohol intake, Another patient, with a heart function of just 15%, now plays badminton regularly. These stories show that heart failure doesn’t have to mean the end of a normal life."

The incredible work of The Community Heart Failure Team has recently been recognised for an award. The team won the Highly Commended Award for NCL Value Awards. Following its success in Haringey, discussions are now underway to introduce a similar model in Islington.

By tackling health inequalities through proactive engagement, community outreach, and holistic support, the team is not just treating heart failure—they are transforming lives.