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This report is written for the public to show the performance ofhospitals, ambulance services and Cardiac Networks in England,Wales and Belfast against national standards for the care ofpatients with heart attack in 2011/12.Authors:Report prepared by Ms Lucia Gavalova, MINAP Project Managerand Dr Clive Weston, MINAP Clinical DirectorWith assistance from:Dr John Birkhead, Former MINAP Clinical DirectorMrs Lynne Walker, NICOR Programme managerProfessor Adam Timmis, Chairman MINAP Academic GroupDr David Cunningham, NICOR Senior Strategist for NationalCardiac AuditsMr Ronald van Leeven, MINAP Project co-ordinatorMrs Sirkka Thomas, MINAP patient/carer representativeMr Alan Keys, MINAP patient representativeDr Darragh O’Neill, NICOR Information AnalystDr Emmanuel Lazaridis, Senior Information AnalystDr Nick West, Consultant Cardiologist, Papworth Hospital &Deputy Chair of BCS Working Group on Acute Cardiac CareDr Alexander Lyon, Consultant Cardiologist, RoyalBrompton HospitalElectronic copies of this report can be found at:www.ucl.ac.uk/nicorFor further information about this report, contact:Myocardial Ischaemia National Audit ProjectNational Institute for Cardiovascular Outcomes ResearchInstitute of Cardiovascular ScienceUniversity College London170 Tottenham Court RoadLondon W1T 7HATel: 0203 108 3926Email: l.gavalova@ucl.ac.ukAcknowledgementsThe MINAP team would like to thank all the hospitals andambulance services that have collected data.This report was completed in close collaboration with theNICOR Technical Team (formerly known as CentralCardiac Audit Database). Sue Manuel has again beenespecially involved.MINAP is commissioned and funded by the HealthcareQuality Improvement Partnership (HQIP). For moreinformation, please visit www.hqip.org.uk.Hospital or ambulance service dataIf you require further information on the performance ofyour local hospital or ambulance service, please contact the¬ relevant hospital or ambulance service, details of whichare available at NHS Choices http://www.nhs.uk/Pages/HomePage.aspxThe content of this report may not be published or usedcommercially without permission.Report published on 15 November 2012.University College London (media enquiries)Media Relations Manager David WestonTel: 020 3108 1056Out of hours: 07917 271 364Email: d.weston@ucl.ac.ukNICOR is a partnership of clinicians, IT experts, statisticians, academicsand managers which manages six cardiovascular clinical audits andseveral new technology registries. Its mission is to provide informationto improve heart disease patients’ quality of care, outcomes and help toreduce inequity in care.The Healthcare Quality Improvement Partnership (HQIP) is led bya consortium of the Academy of Medical Royal Colleges, the RoyalCollege of Nursing and National Voices. Its aim is to promote qualityimprovement, and in particular to increase the impact of clinical audit inEngland and Wales. HQIP hosts the contract to manage and develop theNational Clinical Audit and Patient Outcomes Programme (NCAPOP). Theprogramme comprises 40 clinical audits that cover care provided to peoplewith a wide range of medical, surgical and mental health conditionsFounded in 1826, UCL was the first English university established afterOxford and Cambridge, the first to admit students regardless of race, class,religion or gender, and the first to provide systematic teaching of law,architecture and medicine. We are among the world’s top universities, asreflected by performance in a range of international rankings and tables.Designed and published by:| www.padcreative.co.uk
Myocardial Ischaemia National Audit ProjectHow the NHS cares for patients with heart attackAnnual Public Report | April 2011 - March 2012MINAP Eleventh Public Report 20123
Page 1: Myocardial IschaemiaNational Audit
Page 5 and 6: ForewordThe annual MINAP Report, no
Page 7 and 8: Patients who received thrombolytic
Page 9 and 10: considering such factors as the age
Page 11 and 12: egarding previous medical history.
Page 13 and 14: 3. Improving quality,improving outc
Page 15 and 16: is an acute heart failure syndrome
Page 17 and 18: Alan KeysMINAP Steering Group patie
Page 19 and 20: Figure 7. Patients admitted with a
Page 21 and 22: Figure 11. Percentage of patients w
Page 23 and 24: transfers require a significant amo
Page 25 and 26: Table 8 shows the performance of th
Page 27 and 28: This year we report on the interval
Page 29 and 30: Conquest Hospital, St Leonards onSe
Page 31 and 32: Royal Derby Hospital, Derby 62 89%
Page 33 and 34: “During times of financial constr
Page 35 and 36: Broomfield Hospital, Chelmsford 0 0
Page 37 and 38: Leighton Hospital, Crewe 43 86% 49
Page 39 and 40: Royal Preston Hospital, Preston 48
Page 41 and 42: Wycombe Hospital, High Wycombe 11 1
Page 43 and 44: “I know that MINAP data has been
Page 45 and 46: Cheltenham General Hospital, Chelte
Page 47 and 48: Manchester Royal Infirmary, Manches
Page 49 and 50: Salford Royal Hospital, Manchester
Page 51 and 52: “MINAP, and its long history, is
Page 53 and 54:
Table 6: Ambulance Services in Engl
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Bradford Royal Infirmary, Bradford
Page 57 and 58:
Hexham General Hospital, Hexham 17
Page 59 and 60:
Papworth Hospital, Cambridge 560 99
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Salisbury District Hospital, Salisb
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West Middlesex University Hospital,
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“We have participated in MINAP fr
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Dorset Cardiac and Stroke Network 7
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“Participation in MINAP has helpe
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Blackpool Victoria Hospital, Blackp
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Harefield Hospital 139 84% 156 94%
Page 75 and 76:
Northern General Hospital, Sheffiel
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Royal Victoria Infirmary, Newcastle
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Warrington Hospital, Warrington 435
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Withybush General Hospital, Haverfo
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Part Three: Case Studies1. Call act
Page 85 and 86:
3. Implementing a high-risk nSTEACS
Page 87 and 88:
The British Heart Foundation is a r
Page 89 and 90:
of six individual criteria - all in
Page 91 and 92:
9. Use of MINAP data to develop and
Page 93 and 94:
Figure 26. Part 2 collected by Card
Page 95 and 96:
12. Shifting the FocusNicola Mannin
Page 97 and 98:
Figure 29. Funnel plot of hospital
Page 99 and 100:
Figure 30. Estimated excess risk of
Page 101 and 102:
Part 6: AppendicesAppendix 1: MINAP
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Coronary thrombosisThe formation of
Page 105 and 106:
Birkhead J, Walker L. MINAP, a proj
Page 107:
Heart attacks recorded in MINAP in
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