Question 5
The most recent published data on primary angioplasty was in the annual report for 2009 of the Myocardial Ischaemia National Audit Project ' How the NHS Manages Heart Attacks' . The following table based on this report shows the hospitals which in 2008/9 provided primary angioplasty at least 10 times for patients suffering heart attack during 2008/9 and the PCT where they are located . I am unable to identify the 24/7 services. It should be noted that this is a specialist service which would not be appropriate to provide in all hospitals and that some primary angioplasty centres may serve more than one PCT.
HOSPITAL providing primary angioplasty at March 2009 |
PCT area within which hospital is located. |
Barts & The London |
City and Hackney |
Birmingham Heartlands |
Birmingham East and North |
Bristol Royal Infirmary * |
Bristol |
Castle Hill |
Hull Teaching |
Cheltenham General |
Gloucester |
City Hospital , Birmingham |
Sandwell |
Conquest Hospital , St Leonards on Sea |
Hastings and Rother |
Derby Royal Infirmary |
Derby City |
Dorset County , Dorchester |
Dorset |
East Surrey Hospital , Redhill |
Surrey |
Eastbourne District General Hospital |
East Sussex Downs and Weald |
Freeman Hospital |
Newcastle |
Frenchay * |
Bristol |
Frimley Park |
Hampshire |
Glenfield |
Leicester |
Hammersmith |
Hammersmith & Fulham |
Harefield |
Hillingdon |
Hemel Hempstead General |
West Hertfordshire |
Hull Royal Infirmary |
Hull & East Yorkshire |
James Cook University |
Middlesbrough |
John Radcliffe |
Oxfordshire |
Kettering General |
Northamptonshire Teaching |
King's College |
Southwark |
Leeds General Infirmary |
Leeds |
Lister, Stevenage |
East & North Hertfordshire |
Liverpool Heart & Chest |
Liverpool |
Manchester Royal Infirmary + |
Manchester |
New Cross, Wolverhampton |
Wolverhampton City |
North Hampshire, Basingstoke |
North Hampshire |
Northern General |
Sheffield |
Papworth |
Cambridgeshire |
Queen Alexandra, Portsmouth |
Portsmouth City |
Queen Elizabeth |
Heart of Birmingham |
Royal Berkshire, Reading |
Berkshire West |
Royal Bournemouth General |
Bournemouth |
Royal Cornwall |
Cornwall & Isles of Scilly |
Royal Devon & Exeter |
Exeter |
Royal Free |
Camden |
Royal Sussex County , Brighton |
Brighton & Hove City Teaching |
Royal United Hospital Bath |
Bath and North East Somerset |
Sandwell District Hospital |
Sandwell |
Southampton General |
Southampton City |
St Georges |
Wandsworth |
St Mary's |
Westminster |
St Thomas ' |
Southwark |
Torbay |
Torbay Care Trust |
University College , London |
Camden |
University of North Staffordshire, Stoke |
North Staffordshire |
Victoria , Blackpool |
Blackpool, Fylde & Wyre |
Walsgrave |
Coventry Teaching |
Wycombe General |
Buckinghamshire |
Wythenshawe + |
Manchester |
Key: *2 hospitals within Bristol + 2 hospitals within Manchester
Information identifying 24/7 services will be published by the British Cardiovascular Intervention Society in September/October 2009.
Question 6
Details of thrombolysis treatment for heart attack before arrival at hospital are given in the annual report for 2009 of the Myocardial Ischaemia National Audit Project ' How the NHS Manages Heart Attacks' . The relevant table is reproduced here for your convenience:
|
|
Patients having thrombolytic treatment within 60 mins of calling for help |
|
Patients having pre-hospital thrombolysis |
|||
Year |
|
2007-8 |
2008-9 |
|
2008-9 |
||
Target |
|
68% |
|
|
|||
|
|
% |
n |
% |
n |
|
number |
England national average |
70 |
6960 |
72 |
5358 |
|
2516 |
|
|
|
|
|
|
|
|
|
Ambulance service |
|
|
|
|
|
|
|
East Midlands |
|
69 |
908 |
71 |
861 |
|
467 |
East of England |
|
74 |
1070 |
79 |
984 |
|
752 |
Great Western |
|
56 |
375 |
64 |
296 |
|
165 |
Isle of Wight |
|
58 |
50 |
70 |
33 |
|
13 |
London |
|
|
17 |
|
9 |
|
1 |
North East |
|
77 |
375 |
65 |
37 |
|
17 |
North West |
|
72 |
1247 |
73 |
1150 |
|
187 |
South Central |
|
67 |
503 |
60 |
350 |
|
103 |
South East Coast |
|
72 |
667 |
86 |
461 |
|
268 |
South Western |
|
70 |
555 |
71 |
449 |
|
311 |
West Midlands |
|
71 |
646 |
70 |
376 |
|
173 |
Yorkshire |
|
66 |
547 |
64 |
352 |
|
59 |
A full copy of the annual report, referred to in questions 5 and 6 above, can be found on the NHS Evidence website at the following address: