Myocardial Ischaemia National Audit Project - University College ...

Table 8 shows the performance of the call-to-needle and callto-balloontargets and the percentage of patients that receivedpre-hospital thrombolytic treatment,in-hospital thrombolytictreatment and primary PCI by Cardiac Network. The twoCardiac Networks in Wales are shown separately.There are 28 Cardiac and Stroke Networks in England and twoin Wales. The purpose of the analyses at this level, amongstothers, is to highlight issues relating to equality of access tooptimal patient care. Figure 16 shows the rate of primary PCIsperformed within each Cardiac Network (based on postcode ofpatient’s residence). It is important to note that some patientsare now treated across their network’s boundaries – if theirnearest Heart Attack Centre lies outside this boundary.Countrywide access to primary PCI remains incomplete,although the picture is changing rapidly. The percentage ofpatients in English Cardiac Networks that received primary PCIranged between 42-99% and in 2 Cardiac Networks less than50% of their patients received primary PCI. In Wales primary PCIservices are currently only routinely available at the South WalesCardiac Network (Rhwydwaith y Galon De Cymru).Figure 16 (right). Number of primary PCIs permillion population by Cardiac Network0 100 150 200 250 300 350 400 450 >500MINAP Eleventh Public Report 201225