Beruflich Dokumente
Kultur Dokumente
this issue
Pedalling to Berlin | Great North Run update | Subway 5K gets moving Lauren is the HRUK voice | Facebook like generates 150k |
PLUS
LURE Scholars 08 Master Class 09 HRUK special people Fabian pedals his way to Berlin 10 Scaling the heights for loved ones 13 HRUK new look 14 look what weve been up to Hiking for their hearts in all weather 16 Our fantastic Great North Runners 18 Love your Heart Family 5K 20 Heart Research UK in the Midlands BUPA Great Birmingham Run 22 Lauren is the voice of Sing for your Heart in the Midlands 24 company help Its been Simply great to Like us 26 Damart raises money in style 27 Healthy Heart Grants 29 Healthy Heart Feature Healthy gums could protect you against heart disease 31 HRUK Grants 32 HRUK and SUBWAY Healthy Heart Grants 34 Welcome to new team members 36
update on grants
Nearly 1/2 million for researchers in the latest grant round
Weve given out 466,243 to five Translational Research projects across the UK in our last grant round. First, though, weve highlighted an additional grant given to Birmingham Childrens Hospital to help parents of babies who have had heart surgery.
Mr David Barron Birmingham Childrens Hospital | 36,473 - 2 years Support and surveillance for babies following complex heart surgery
This project will test the feasibility of using a Congenital Heart Assessment Tool (CHAT) and a Home Monitoring Programme (HMP) by parents of young babies who have been discharged home after complex heart surgery. Taking a child home after this sort of surgery can be a daunting prospect at the best of times, but certain types of heart condition also benefit from close surveillance and pre-empting potential problems that might develop. CHAT is a traffic light system, based on the parents observations of their infant such as poor feeding, shortness of breath and urine output, to give an early indication of deterioration of the infants condition. HMP includes daily measurements by parents of the infants oxygen levels and weight. The project will assess whether using HMP together with CHAT improves early recognition of any deterioration in their health compared with CHAT alone or the current discharge advice. The project will educate families and then provide them with direct contact to a trained cardiac liaison nurse. In addition, they will be provided with accurate weighing scales and an oxygen saturation probe to measure the babies daily weight and oxygen levels and then transmit these through a mobile phone device to the hospital. There is good evidence that this level of surveillance saves lives and will empower families and reduce anxiety levels, making them more confident in managing their childs condition.
03
update on grants
Professor Luigi Gnudi Kings College London | 75,000 - 36 months Protective role of Nogo-B in cardiorenal vascular disease
Cardiovascular disease and kidney disease have a close relationship, sharing some of the same risk factors such as high blood pressure and diabetes and often existing together as cardiorenal vascular disease in patients with diabetes. Currently, there are no treatments to prevent the progressive decline in kidney function and accompanying increase in cardiovascular risk seen in these patients. There is evidence that a protein called Nogo-B which is produced naturally in the blood vessels - has a protective role and may help to halt the blood vessel damage which happens in cardiorenal vascular disease. Earlier work by this research team has shown that levels of Nogo-B are lower in diabetes and cardiovascular disease.
In this project, the team will investigate whether Nogo-B can protect the blood vessels from the damage which occurs in cardiorenal vascular disease. The researchers will study endothelial progenitor cells a type of cell important for blood vessel repair - from volunteers with type-1 diabetes, with high and low cardiovascular risk. The aim is to understand the role of Nogo-B in these cells and to investigate its potential protective role. A better understanding of the role and protective functions of Nogo-B would represent an important step forward in the development of new treatments for patients at high risk of cardiorenal vascular disease including those with diabetes.
04
update on grants
Professor Sarah George Bristol Heart Institute | 130,043 - 24 months Selective gene therapy for vein graft failure
Sections of leg vein are frequently used in heart bypass surgery to get around blocked coronary arteries and improve blood supply to the heart muscle. In around 50% of patients, these vein grafts often become narrowed in the months and years following surgery and, eventually, fail which is not only a problem for the patients needing further treatment, but it also has huge cost implications for the NHS. Earlier work by this team has shown that a specific biochemical pathway activates the cells of the vein graft and encourages thickening of the inner layer of the vein. They will build on this discovery by developing a way of selectively killing only the culprit active cells and help to
avoid side-effects. The researchers have identified a good candidate, a protein which may selectively target only the active cells in the vein graft. Using a combination of techniques, they will assess whether a gene therapy approach can be used to produce this protein in the cells and selectively kill only active cells in the vein graft, thereby preventing vein graft failure. This will be the first study of its kind to assess whether gene therapy can be specifically tailored to the active cells within the vein graft and would benefit patients undergoing graft surgery for blocked arteries in the legs, which is an important problem particularly in the rising numbers of diabetic patients.
Professor Ken Suzuki William Harvey Research Institute, Queen Mary University of London | 111,950 - 12 months Development of a new method for stem cell therapy for heart failure
Transplanting a patients own stem cells is a promising new approach but has serious limitations because most of the stem cells die shortly after grafting and stem cells from diseased, aged patients are likely to have deteriorated function and reduced survival after grafting. Also, the preparation of stem cells requires the patients to endure painful procedures for collection, followed by lengthy lab processes. Recent research has shown that a specific type of stem cell, called mesenchymal stem cells, collected from healthy donors, can be transplanted into patients without causing immune rejection. This research team has also developed a novel bio-engineering technology to produce intact sheets of high-quality stem cells. This project will test the safety and efficacy of the cell-sheet technique in delivering mesenchymal stem cells, from healthy donors, to the heart. It is expected that the stem cells used in this method will survive better and contribute more to the recovery and regeneration of damaged hearts compared to those transplanted by the current methods. If successful, this research will validate a new approach to treating heart failure which may ultimately save lives and improve quality of life of patients.
05
update on grants
project update
HRUK began its unique Novel and Emerging Technologies grant programme in 2007 to encourage blue sky thinking in new technologies such as tissue and bioengineering; developing new devices; nanotechnology; emerging strategies and technologies to manage risk factors; cardiology procedures (eg angioplasty and stent placement), new surgical procedures to cardiovascular disease, improving existing devices and the outcomes of resuscitation after cardiac arrest. All applications must be based on excellent science and clearly describe the future clinical implications and how they can be applied. The first-ever grant for 199,728, was awarded to Prof John Greenman at the University of Hull to develop a new technique for studying heart disease. The project has successfully developed a novel system for keeping human heart tissue alive whilst continuing to beat and function as though it was in the human body. Living tissue needs to be continuously provided with oxygen and nutrients with waste products being removed. The study showed that a number of factors were all critical in keeping the biopsies alive and in a healthy state and the researchers carefully created the best conditions so that tissue samples could be kept alive for up to 24
hours in the lab long enough for appropriate tests to be carried out to study the function of tissue. All tissues release chemicals naturally, but these may change following an intervention such as treatment with a drug. The researchers developed special probes to measure levels of key chemicals released from the tissues to study, in real-time, the changes taking place in the cells, allowing fast analysis within minutes rather than hours as with present testing methods. It is hoped that the system will become an important research tool to help scientists to understand more about the processes involved in heart disease and to develop new treatments. The challenges now are to further progress the new technology and find ways of packaging it for manufacture as a medical device for use in the clinic. Professor Greenmans ultimate vision is that, by directly testing patient samples in a hospital setting, the system could be used for rapid and accurate diagnosis and to help clinicians select the best treatment for individual patients. Earlier this year, Heart Research UK was delighted to present Professor Greenman with the HRUK Outstanding Researcher of the Year Award, in recognition of this successful work.
06
project update
project update
This 69,220 Translational Research Grant awarded to Prof Colin Fishwick at the University of Leeds ran from October 2008 to September 2011 and used special computer programs to design new chemicals to inhibit an enzyme produced by the body, FXIIIA, and tested their effectiveness. Blood clotting is essential to stop bleeding after injury and aid wound healing. However, when blood clots form inside an artery this may lead to a heart attack or stroke. An essential part of the clotting process is the formation of long fibres of the protein fibrin. The body produces an enzyme called factor thirteen (FXIIIA), which welds the fibrin chains together forming a tough mesh and making it very difficult to break down the clot
with anti-thrombosis medicines. Research has shown that by stopping FXIIIA from working, clots are easier to break down with drug treatment or by the bodys own mechanisms. The team also produced some very potent chemicals that inhibited the action of FXIIIA and successfully identified two new classes of FXIIIA inhibitors which represent possible new drug leads. Although there is still more work to do to develop these into safe and effective medicines, these exciting results point the way to the development of a completely new way to treat thrombosis.
HRUK has awarded over 10,600,000 to research projects over the last ten years
For more information on research grants please visit www.heartresearch.org.uk/research
07
project update
lure scholars
08
project update
master class
09
10
Thank you
to everyone who has sent in donations or fundraised for Heart Research UK including:
Hazel Forrest, Kirkby-in-Ashfield | 40 - Coffee morning Jane and Terence Peale, Huddersfield | 200 and Elaine Pamprell, Leigh | 260. Both Ruby Wedding donations Maria Sawbridge, Leicester | 50 - Tombola and raffle Stall Anna Para, London | 2,450; Umesh Patel, Leicester, | 1,880; Ann Hepher, Bedford | 1,416; Heather Laing, Wrexham |225 - Climbing Kilimanjaro Springwater School, Harrogate | 200 - Assistant Heads retirement collection Derek Harding, Kent | 441.25 - Edinburgh Marathon Jasmine Mameen, Essex | 600 - Donation after Ramadan Hornsea Freemasons | 517 donation Majami Tutani, Orpington | 275 - London Triathlon Val Newton, Stockton-on-Tees | 200 - Coast and Castle Cycle Ride Pam and Andrew Bullivant, Ely | 150 - Plant sale Kirk Newsholme Chartered Accountants | 90 - Collection instead of Christmas cards Event Management Students from Leeds Metropolitan University |
80 - 5-a-side football match
11
Best-selling Doctor
In 2006, Dr Zeshan Qureshi, then a medical student at the University of Southampton, received a 7,000 research grant from Heart Research UK for an Intercalated BSc degree, working with Professor Nick Curzen. The study, using short TEG, an exciting new test looking at improving medications to prevent blood clots in patients being treated for coronary artery disease, gave Zeshan the opportunity to kick-start his career and led to national prizes, 11 publications and experience presenting research in America, France, Scotland, Bulgaria, England and Canada. Since then, he, along with colleagues, has written and published a medical book which teaches junior doctors how to deal with common medical scenarios. The book, The Unofficial Guide to passing OSCEs, has had a tremendous response and was the bestselling medical book on Amazon for over four and half months, selling over 3,500 copies in over 20 countries and is still extremely popular in helping medical students with their exams. Zeshan is now an Academic Clinical Fellow in Paediatrics at Great Ormond Street and the Institute of Child Health and has donated the 1,000 proceeds from the book towards research into HRUK projects into better treatments for Long QT syndrome, a genetic condition which can cause abnormal heart rhythms, which can lead to fainting, seizures, cardiac arrest and sudden death. What is heartwarming and special for us is that a successful Doctor remembered how his first steps on the research ladder were helped by a grant from Heart Research UK and repaid the faith put in him with such a kind, generous gesture.
Thank you
Catterick school gets a head start
Pupils at Le Cateau Community Primary school in Catterick have sung their hearts out and raised almost 200. They also made over 1,000 during their Enterprise Challenge, when Year five and six classes each were given 100 and asked to make 300 by the end of the school year. Their events included raffles, tea parties and a Mexican Fiesta, with the children coming up with all the ideas, adding up to over 1,300 for Heart Research UK. Head teacher, Grahame Shepherd, said: Its so great to see all the children getting involved in fundraising for such a good cause. They have had so much fun doing the activities and we are very proud of the work they have done for Heart Research UK. All our supporters are special people and some have very special reasons for being involved. Others because they are just generous, kind-hearted people who realise that heart disease can affect all ages and backgrounds. Thank you, most sincerely, to everyone who helps Heart Research UK, no matter how large or small their contribution, it is very much appreciated.
12
13
Rehabilitating children
The first, is a scheme for youngsters after heart surgery or with a life-long condition to help keep hearts healthy. One in 145 children is born with a congenital heart problem. Some will receive a new heart, others are in and out of hospital for most of their young lives, getting treatment for conditions such as holes in the heart, narrowed valves and more complex defects; some will have an operation and receive little follow-up. Currently, if an adult suffers a heart attack or is hospitalised because of heart problems, they leave hospital fully informed about the type of regime they should follow as well as being offered a full rehab programme, but with youngsters this rarely happens. When we realised that there was a glaring gap, Heart Research UK decided that every childrens heart centre in the UK should have the know-how, personnel and equipment to make sure that every child, and the people who look after them, would leave hospital with a toolkit and access to the exercise aids they need to live the most heart healthy life possible. The scheme will be backed by thorough research and, more importantly, based on advice and practical experiences from those working with children every day.
hruk new look
Master Classes
Talking to clinicians, we felt that, by offering the chance to experience, first hand, state of the art techniques or hear experts in their field talk about their specialities, they could use the knowledge gained for their own patients benefit. They could already attend training sessions, but we wanted more unique Master Classes from leaders and innovators in their field. The first has been held and you read about it on page 9. We dont want to stop there and well keep on looking for new opportunities to make sure our supporters money has the greatest impact on the prevention, treatment and cure of heart disease.
14
address below.
5 / 10 / or every month until further
Id like to make a one off donation to Heart Research UK Id like to help Heart Research UK by giving a regular gift starting on of 2 / / Signature To the Manager Bank name Address Account Number Date
notice
Id like to make a regular donation to Heart Research UK Please make cheques payable to Heart Research UK provide your credit card or please details below. Here is my gift of Payable to Heart Research UK Receipt? Yes No Or I authorise you to debit my Mastercard / Visa / Maestro account with the above amount (delete as appropriate) / Exp Date /
REF
7474 E info@heartrese Registered Charity No. arch.org.uk 1044821. Registered Office: Suite 12D, Josephs Well, Company limited by guarantee Leeds LS3 1AB No. 3026813. Registered in England.
Please tick this box if you do not wish to hear from Heart Research UK in the future. The policy of Heart Research UK is not to pass names and addresses of our friends and supporters to other organisations. Heart Research UK Freepost RLYL-AGUE-SS BZ, www.heartresearch.org.uk Suite 12D, Josephs Well, Leeds, LS3 1AB T 0113 234
We worked on our new look with Proportion Marketing in Thirsk, North Yorkshire. Vaughan Lonsdale, Director, gives his view on Helping Hearts. HRUK are operating in an increasingly competitive marketplace for donations and This is the new look Heart Research UK. The same logo but with Helping Hearts added. It reflects the warmth and friendliness of our charity and says exactly what we do, not just medical research but all the new things that help people cope with heart disease, prevent it by encouraging healthy heart lifestyles and promoting the best practice and techniques across the country. Heres to our next 45 years.
Registered Charity No. 1044821. Registered Ofce: Suite 12D, Josephs Well, Leeds Company limited by guarantee LS3 1AB No. 3026813. Registered in England
www.heartresearch.org.uk
Helping Hearts is exactly what the charity does and this statement completely aligns with the brands core values. Everyones lives are touched by friends, relatives or colleagues suffering from heart disease and this is the perfect positioning statement. Its attractive, unique, and carries the relevant message for their market.
needed a branding strategy that repositioned the organisation to appeal to a broader base of donors but still linking to the brand as a key UK funder of medical research.
www.heartresearch.org.uk
www.heartresearch.org.uk
www.heartresearch.org.uk
at Christmas
15
Registere
16 14 www.heartresearch.org.uk/events/yorkshirethreepeakschallenge
If you would like to take part in next years event, please visit:
Golf Days are a great and enjoyable way to fundraise for Heart Research UK. If you would like help or advice to organise your own golf event, please contact Lisa Russell on 0113 234 7474 or on yorkshire@heartresearch.org.uk
17
Fundraising duo
Lloyds of London underwriter, Sean Burke, 25, completed the race in about one hour 50 minutes and also said the atmosphere had been unbelievable and people along the route were great. He and his girlfriend, Monika Tamics, wanted to do the race for a heart charity after family members suffered heart problems and chose Heart Research UK.
18
look what weve been up to
First timers
HRUKs own Fundraiser, Lynne Desborough, and husband, Lee, from Leeds did their first Great North Run in two hours 11 minutes and one hour 49 respectively. Lynne said: It was an amazing experience and there was something to remember on each mile - from the Red Arrows flying overhead, the crowds handing out jelly babies to the spine tingling chants going underneath the bridges. What stood out the most for me, though, was the masses of people who were running for a cause including our own Heart Research UK runners who were fantastic. It was an inspirational day, Ive really got the bug and I hope I can get a place for next years event.
Their friend Melanie Purkiss, also completing her first Great North Run, donned a red wig and ran in just under two hours. I have run a few half marathons and this has definitely been the best, said Melanie who is a press officer at the Department for Transport. Katherine McFadzean, a 27-year-old Police Community Support Officer with South Yorkshire Police, completed the race in two hours and 25 minutes and said she was proud to be part of the team running for Heart Research UK. I turned up late so was the last person to start the run. I was just in front of the race sweeper vehicle which actually made me run quicker but it meant I had a lot of people to run past, said Katherine of Higham near Barnsley.
19
look what weve been up to
SUBW
VE YOUR H Y LO A
T TM EAR
20
love your heart 5k
Northern Ireland has a high incidence of heart disease and many of the families taking part were running for very special reasons.
Paula Bacon and her two sons Kayne, seven, and Fraser, three, from East Belfast completed the event in memory of Paulas father and brother. Paulas father, Leslie, a soldier, died at 32 from congenital heart disease whilst serving in Germany. Her brother, Christopher, was diagnosed with the same condition when he was just 18-months-old and, sadly, he also passed away, aged 12, leaving the family devastated. As Paula said, My boys never got the privilege of meeting their uncle, but we know he will be looking down on us proudly.
Chris Farrell, 23, from Newtownards was inspired to take part after his grandfather suffered from angina and his wifes grandparents Mark Smith from Ballymoney got their running shoes on to remember their father, David, and uncle, Mark, who both died from heart attacks. Grace explained how important doing the run was to her and her family, Heart disease has had a huge effect on my family. Eleven members have heart problems or have passed away due to them. Thats scary and we aim to change our fate.
love your heart 5k
and
21
and, after a promising echocardiogram, they decided that his heart had recovered and they would be able to remove the LVAD. Tragically, complications arose during surgery and Nick, aged just 21, passed away. His brave battle against heart failure had lasted just over 10 months. Since then, Nicks friends and family have raised almost 74,000 for the Nick Bill Memorial Fund set up with Heart Research UK. The money raised has been used on various projects at Harefield and the Queen Elizabeth Hospitals, ranging from reducing risk of cardiac failure in the young, to researching new methods of identifying quality organs pre-transplantation. The Nick Bill Memorial Fund raises money all year. Their fourth annual golf day at Alton Golf Club was organised by Nicks father, John Bill. 20 teams took part and raised 2,514.00.
22
Ethans Gift
Brave husband and wife, Andrew and Julie Marshall turned their grief into something very positive when they founded Ethans Gift following the tragic loss of their three-year-old son from congenital heart disease. As Andrew explains: We wanted to increase awareness of congenital heart defects and to raise funds for projects at Birmingham Childrens Hospital in memory of our son, Ethan. He made such an impact in his three short years that my wife Julie and I felt compelled to set up Ethans Gift as our way of supporting the work of the Cardiac Unit. Working alongside Heart Research UK enables us to bring our message to a wider audience and to see our fundraising go into supporting bigger projects. Andrew and Julie are assured that whatever they raise, it will be spent in Birmingham, along with funds from Heart Research UK itself, for projects like the one for baby monitors highlighted in our update on grants. Were delighted to have their support and, together, well help little hearts in Birmingham, and beyond.
23
hruk in the midlands
24
Waitrose
Shoppers and staff at Waitrose in Harborne, Birmingham have done it again and picked HRUK to benefit from the stores community giving scheme. This is the 4th time we have been selected by the store to receive their donation, after counting the number of green tokens or votes from shoppers. The 450 raised shows that HRUK had 45% of the total tokens and that the Midlands office is having a big impact locally.
25
company help
LTH
company help
27
company help
28
company help
healthy hearts
Being part of a group of people in the same situation helps a great deal. Sharing experiences, problems and solutions helps establish a common goal. You really arent on your own. - Phil I retired just over three years ago and with a change in lifestyle, my weight ballooned by over two stone. All my previous efforts to get back into an exercise regime failed miserably, but then Motivate came along - a structured course over twelve weeks, looking at a more healthy (but not boring or strict) diet and making exercise fun again. - Tim
29
healthy heart grants
healthy hearts
statins, heart failure, high blood pressure, people of South Asian origin, healthy eating, alcohol, salt intake, fats, exercise, sleep and stress. They featured expert heath advice and personal case studies/testimonies from listeners. People have been emailing in and tweeting following the shows. Off-air, Insight Radio published a dedicated Heart Matters webpage offering weekly updates, podcasts, photographs and links to further information and support. The podcasts remain on the website and will be shared with organisations that have contributed and partners. In December 2011, after the CPR broadcast, a listener who worked in a bank remembered the symptoms of a heart attack and instructions for CPR shed heard on the Heart Matters programme and saved a customers life.
30
31
Healthy Heart Grants
Newcastle: Newcastle upon Tyne YMCA YMCA Fitness Challenge Love Your Heart, 3,000
Young people from four deprived areas of Newcastle will be taught about the importance of looking after their hearts through a programme of exercise and healthy eating. Thirty 13 - 25 year olds, including young mums and those from BME communities, will build up their fitness levels through Zumba, Fitness Hula, Skip Trix and Boxercise sessions. They will learn about nutrition in small groups covering topics such as energy balance, food labelling, processed foods and the risk factors for heart disease, and will work with project leaders to improve their lifestyles and overcome some of the barriers to making behaviour changes.
To apply for a
to www.heartresearch.org.uk/grant/healthyheartgrant Deadlines for applications are 28 February and 31 August each year.
32
Healthy Heart Grants
Heart Grants
Sunderland: SAFC Foundation of Light Heart of The Game, 9,900
Building on the success of their Heart of the Game project (funded through a previous Heart Research UK and SUBWAY Healthy Heart Grant), the Foundation of Light will take their heart-focused programme to every primary school in South Tyneside. Over ten weeks, Year 5 pupils will learn about their hearts, the key ingredients of a heart-healthy diet and will aim to get their hearts beating faster through fun activities such as the circulatory system and salt game. Families will also be invited to take part in two of the sessions. The SAFC Active Bus will roll up at schools across the borough to carry out Health MOTs (heart rate, BMI, body fat etc) and get a snapshot of this age groups health. Up to 1,500 children will be involved and those who improve the most will be invited to a Heart of the Game showcase event during a match at the Stadium of Light.
Solihull: Northern Star Community Arts Northern Stars Healthy Hearts, 5,700
An imaginative and fun programme of activities will be offered to people with a learning disability living in North Solihull to help them make heart-healthy lifestyle choices. Forty young people and adults, together with their relatives and carers, will join in with discussions, news sharing and storytelling that cover healthy eating and shopping, mini Olympics (indoor bowls and specialist games) and light exercise classes. Participants will be encouraged to set their own goals around keeping their hearts healthy.
33
Healthy Heart Grants
34
HRUK and SUBWAY Healthy Heart Grants
y Heart Grants
LaNYT Theatre Dear Heart Youth Theatre Project, Cambridge, 10,000
LaNYTs experience engaging with individuals who are socially and economically marginalised and their ability to create an open, supportive and inspiring environment will help to target young adults in Cambridge, aged 19-30, whose lifestyles put them at a greater risk of heart disease. Dear Heart performing arts workshops will be developed by LaNYT theatre artists, in consultation with cardiac advisors from the University of Cambridge, who will also give talks on heart health. Participants will also be more physically active through dancing, martial arts and movementbased theatre. A Dear Heart Theatre In Education pack that includes key information about the heart, heart disease, heart-healthy eating and real-life stories about cardiac conditions will be produced and handed out to participants.
Bristol Academy Flyers Basketball Club Hoops 4 Healthy Hearts, Bristol, 9,200
Nine to ten year olds from deprived communities in North Bristol will be aiming high with this programme of heart-health education and basketball. Pupils will take part in interactive classroom sessions about the heart and the key steps to keeping it healthy and also have basketball coaching with Professional American Ambassadors, who are role models in many of these communities. Schools will then be invited to play other schools at a festival at the clubs home.
Health and Local Food for Families The Heart Hub, Axminster, 10,000
Residents in Axminster in Devon will be encouraged to put their heart health in focus through activities at the Heart Hub, a food and information centre in the middle of town. A large digital screen will display key heart health messages and visitors will be able to access information, simple seasonal recipes and cooking activities. A community Heart Hub Champion will deliver cookery demonstrations, talks at local fairs and schools and work with Axe Community College to get teenage girls, who are not involved in sport, to take part in a cooking and street dance course.
35
HRUK and SUBWAY Healthy Heart Grants