Adult Cardiac Surgery (Surgery Audit)

The National Adult Cardiac Surgery Audit (NACSA) collects data on all major heart operations carried out in NHS hospitals and a selection of private hospitals throughout the UK.

What is Adult Cardiac Surgery?

Adult Cardiac Surgery includes all procedures performed on patients aged 18 or over that involve the heart or structures attached to the heart.  For the purposes of the Audit these operations involve surgically opening the chest wall and usually the pericardium (the sac around the heart).  The most common of these procedures are:  Coronary Artery Bypass Grafts (CABG), Valve surgery, operations on the Thoracic Aorta, or a combination of these.

Procedures on the heart performed with catheters (tubes inserted via arteries or veins to access the heart) are usually performed by interventional cardiologists rather than surgeons, and are included in several other national audits overseen by NICOR, and are therefore not included here.

Adult Cardiac Surgery Audit 2021

The  NACSA Audit looks at all procedures undertaken in NHS cardiac surgery centres in the UK, as well as six private hospitals and one from the Republic of Ireland over a 3 year period, between 1st April 2017 to 31st March 2020.  This provides an overview of the state of cardiac surgery in the UK during this timeframe (such as activity and trends), as well as reporting on several Quality measures.

The data are complete for all NHS work in England, Wales, Scotland and Northern Ireland.  Data are missing from 3 private providers that chose to not take part during the final year (2019/20).

To prevent the main report becoming too lengthy some of the data this year is included within a separate appendix.  This contains many supplementary tables and graphs not within the main report.

Clinical Outcomes Publication (COP)

The Adult Cardiac Surgery Audit participates within the Clinical Outcomes Publication (COP) programme which publishes information on all hospitals and consultants undertaking adult surgery. It provides data on in-hospital survival rates along with the total number of procedures performed on a rolling 3 year basis.  This information is published on the Society for Cardiothoracic Surgery website and is produced by NICOR after undergoing a thorough validation process. The latest COP outcomes of individual hospitals and surgeons for the three years between 2017 and 2020 can be accessed by following the links provided at end of this page.

Non-mortality outcome data by hospital

We have produced an interactive version of some of the non-mortality hospital level outcome data for the period 2017 to 2020.  This includes a number of common serious complications seen after cardiac surgery such as strokes, post-operative bleeding and wound infection.  This can be easily filtered by region, printed and downloaded (if you have any problems opening this please try in a different browser such as Chrome or Safari).

 Links to Reports

Adult Cardiac Surgery Summary Report 2021

Appendix to 2021 NACSA report (2017-2020 data)

Key messages document

Line of Sight table

 2017-20 Clinical Outcomes Publication (COP):

Hospital data – https://scts.org/patients/hospitals/

Surgeon data – https://scts.org/patients/consultants/

Non-mortality outcome data by hospital:

ACS Interactive Report

NICOR report on effect of COVID on Cardiovascular Procedures

Link:  https://www.nicor.org.uk/wp-content/uploads/2020/09/NICOR-COVID-2020-Report-FINAL.pdf

SCTS Blue Book 2020 (National Cardiac Surgery Activity Report 2002-2016)

Link:  https://scts.org/wp-content/uploads/2020/12/SCTS-cardiac-blue-book-2020_11_20-TN-v2.pdf

Contact details:

Project Manager: Sam Perwaiz

Project Coordinator: Jane Kerr

nicor.auditenquiries@nhs.net

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