Objective-To evaluate whether nurse run clinics in general practice improve secondary prevention in patients with coronary heart disease. 1.47, 1.10 to 1.96). There was no eVect on smoking cessation (0.78, 0.47 to 1.28). Of six possible components of secondary prevention, the baseline mean was 3.27. The adjusted mean improvement attributable to intervention was 0.55 of a component (0.44 to 0.67). Improvement was found regardless of practice baseline performance. Conclusions-Nurse run clinics proved practical to implement in general practice and eVectively increased secondary prevention in coronary heart disease. Most patients gained at least one eVective component of secondary prevention and, for them, future cardiovascular events and mortality could be reduced by up to a third.

Objective: To determine secondary preventive treatment and habits among patients with coronary heart disease in general practice. Design: Process of care data on a random sample of patients were collected from medical records. Health and lifestyle data were collected by postal questionnaire (response rate 71%). Setting: Stratified, random sample of general practices in Grampian.

Within their first year secondary prevention clinics improved patients' health and reduced hospital admissions.

The OPTIMISE programme produced significant changes in health-promoting behaviours.

This study provides preliminary evidence of the effectiveness of an 8-week core stability training programme in improving balance and mobility in ambulant people with MS. Variations in response to intervention are evident. Assessor-blinded randomized controlled studies are required to confirm these findings and determine patient characteristics which identify those who benefit most from this intervention.

We have demonstrated previously a significantly greater survival in attendees at nurse-led secondary prevention clinics. Despite this, improvements in health status achieved in the first year of the study were reduced at 4 years. The case for nurse-led clinics remains strong, but further research is required on ways to optimize current health status.