Category Archive: General
The Way We Were: Lessons for service re-design
NICOR 2021 Annual Report Webinar
November 24th, 2021 13:00 GMT
Are you a clinician working to improve the detection and treatment of cardiovascular disease, one of the many key workers who works hard to keep the data flowing into the NICOR audits or a patient or member of the public interested in cardiovascular disease? Join our upcoming webinar to gain insights into key findings from the 2021 National Cardiac Audit Programme (NCAP) Annual Report and participate in discussions on initiatives needed to improve the quality of care for patients admitted to hospital with cardiovascular disease. The NCAP annual report outlines the national audit results across our six main sub-specialties for the 2019/20 financial year (or the 2017/18-2019/20 period for those analyses requiring a 3-year cycle).
The report highlights the state of play just as we entered the COVID-19 pandemic. Since then, so much has happened. Many care pathways were disrupted whilst resources were diverted to maintaining or creating new services for emergency and urgent cases. The pandemic continues but in a different form following the vaccination programme. Integrated care systems, hospital and ambulance trusts are collectively dealing with the consequences, and establishing work programmes to deal with current requirements as well as the backlog.
The lessons of the NCAP prior to the pandemic are all highly relevant to the on-going re-design of services.
We very much hope you can join us to gather ideas on how to review your local results and consider actions for changes required.
If you are unable to attend on the day, the webinar will be available to view on our website, watch this space for details or follow us on Twitter or LinkedIn.
For any further details of the day, please contact email@example.com
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NICOR has today (14 October 2021) published the National Cardiac Audit Programme Annual Report for 2021.
The report, called “The Way We Were: A Pre-Pandemic Stocktake to Help the Recovery” summarises key findings from the National Cardiac Audit Programme (NCAP) based on data collected between 1st April 2019 and 31st March 2020 (or between 2017 and 2020 for those analyses requiring three years’ consecutive data). Trends in data from 2010/11 are provided where appropriate to provide a comprehensive stocktake of progress and continuing challenges from the decade prior to the pandemic. As such, it represents the state of play up to the point we were just entering the national COVID-19 pandemic (the first lockdown occurring on the 23rd March 2020).
The Annual Report is accompanied by supporting reports from all the six domains covered by the audit programme and a dedicated Annual Report for Patients, Carers and the Public, which was co-written by NICOR patient representatives Sarah Brown and Richard Corder.
National Adult Cardiac Surgery Audit (NACSA) 2021 Summary Report
National Audit of Percutaneous Coronary Interventions (NAPCI) 2021 Summary Report
National Audit of Cardiac Rhythm Management (NACRM) Devices and Ablation 2021 Summary Report
National Congenital Heart Disease Audit (NCHDA) 2021 Summary Report
National Heart Failure Audit (NHFA) 2021 Summary Report
Myocardial Ischaemia National Audit Project (MINAP) 2021 Summary Report
On 27 August 2021 NHSX wrote to all trusts in England to inform them that the deadline for compliance with the National Data Opt Out policy had once more been extended, this time to 31 March 2022, as hospitals were expected “to continue to need to prioritise the response to, and recovery from, Covid-19 in the coming months”.
Read the letter and more information at the link below.
Compliance with the national data opt-out – NHS Digital
NICOR’s Director, Professor John Eric Deanfield, was named in the Queen’s Birthday Honours list 2021 this weekend as recipient of the award Commander of the Order of the British Empire (CBE) for “Services to the Prevention and Treatment of Heart Disease”.
John has had a remarkable career and was specifically named as Director of NICOR in the list. In addition to the use of national data for public health purposes, he has majored on the prevention of heart disease and has been an advisor to Public Health England and the government for many years. As a team, we at NICOR congratulate him on this wonderful news,
You can read the full Queen’s Birthday Honours list here:
The Virtual Cardio-Oncology Research Initiative (VICORI) programme brings together English national cancer data and six national cardiovascular disease audits to investigate the interplay between cardiovascular disease and cancer.
The VICORI data resource captures adults (aged 18+ years) who were hospitalized for cardiac disease, had a cardiac procedure and/or a cancer diagnosis alongside information on their treatment and outcomes. These data are routinely collected and submitted to health care registries and are linked using a unique health service number.
Detailed data on cancer and cardiac diagnosis, treatment, outcomes, previous and subsequent hospital diagnoses and operations, and mortality are available from 6.2 million cancer diagnoses between 1995 and 2018, and 3.8 million cardiac hospital admissions/procedures between 1999 and 2018.
Access it here: https://academic.oup.com/ije/advance-article/doi/10.1093/ije/dyab082/6293995
The VICORI cohort will be updated on a rolling basis with annual updates from the audits.
The National Institute for Health and Care Excellence (NICE) has published an impact report on cardiovascular disease (CVD) management. This new report, which includes NICOR data from the National Cardiac Audit Programme (NCAP), considers how NICE’s evidence-based guidance contributes to improvements in care of people with CVD.
This is the latest impact report in a series which looks at how NICE’s evidence-based guidance is being used in priority areas of the health and care system. NICE impact reports are based on data from national audits, reports, surveys and indicator frameworks that show the uptake of their guidance and quality statement measures. You can access all the impact reports on the NICE website.
Judith Richardson, NICE’s Acting Director for Health and Social Care, has published a blog about the CVD management impact report in the National Health Executive.
NICOR has today (10 December 2020) published the National Cardiac Audit Programme Annual Report for 2020, an analysis of 2018/19 data, and for some clinical domains, 2016-19 data.
The report, The ACID Test: Improving Cardiovascular Care through Aggregation, Collaboration, Information and Delegation focuses on the NHS Long Term Plan goals for quality improvement and recommends that national audit data can feed quality improvement programmes and service redesign through four main processes:
- AGGREGATION: Clinical pathways should be reviewed
- COLLABORATION: Working together to achieve better results
- INFORMATION: Enables decision-making
- DELEGATION: Nurse Specialists and Physician Associates can improve services
The Annual Report is accompanied by supporting reports from all the six domains covered by the audit programme and a dedicated Annual Report for Patients and the Public 2020, which was co-written by NICOR patient representatives Sarah Brown and Richard Corder.
Read our Autumn newsletter, including information about the upcoming publication of the NICOR 2020 Annual Report
NICOR has today (10 September 2020) published a report on the impact of the COVID-19 pandemic on the care of people with cardiovascular disease.
NICOR came together with NHS England and NHS Digital to enable senior clinical academics at the Universities of Leeds and Keele to rapidly analyse data collected from hospitals. Analyses have been performed by Professor Chris Gale and his team at the Leeds Institute of Cardiovascular and Metabolic Medicine and Leeds Institute for Data Analytics, University of Leeds and by Professor Mamas Mamas and the Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, University of Keele.
As a result of this unprecedented endeavour, NICOR has identified major changes in the public response to the COVID-19 pandemic – which will without doubt have lasting impact on patients.
Professor John Deanfield, NICOR Director, said “There has been a magnificent response from the clinical profession and its partners in national bodies, with inclusive, integrated and rapid action, underpinned by fully collaborative decision-making. This has been all the more important because not only is CVD a key determinant of the health outcomes for an individual with COVID-19 infection, but the pandemic has had a significant impact on CVD care amongst the general population.”
At a national level, the UK cardiovascular community has collected data on CVD presentations and outcomes over many years, which NICOR maintains in the form of approximately 6 million records. Funded by NHS England, the Welsh Government and partially by NHS Scotland, these datasets are used to achieve a wide range of quality assurance (QA) and quality improvement (QI) goals across the whole of the UK. Over a few weeks from mid-March 2020, work was carried out to enable linkages between this centralised resource and coding data from hospitals held by NHS Digital and the Office for National Statistics (ONS). This has facilitated a swift response to the needs of the Scientific Advisory Group for Emergencies (SAGE) and NHS leadership to assist with national policy on COVID-19 and has tackled critical questions under three headings:
1. The impact of the pandemic on background CVD presentation, care delivery and outcomes;
2. The effect of different CVD risk profiles on the acute consequences of COVID-19 infection; and
3. The long-term consequences of COVID-19 on CVD service provision and outcomes.
NICOR is now in a position to provide this data intelligence to the Government through NHS England and SAGE, which we hope will influence decisions to improve the care and outcomes for patients with heart attack in the UK and wider afield.
Read the report – Rapid cardiovascular data: we need it now (and in the future)
Read the patient and public summary – NICOR’s role during the COVID-19 pandemic and beyond
Intravascular lithotripsy for calcified coronary arteries during percutaneous coronary intervention
Interventional procedures guidance [IPG673] Published date: 24 June 2020
NICE have published guidance, to which BCIS contributed expert advice, which allows for the use of intracoronary lithotripsy, but includes the stipulation: “Enter details about all patients having intravascular lithotripsy for calcified coronary arteries during percutaneous coronary intervention onto the National Institute for Cardiovascular Outcomes Research (NICOR) database, and review local clinical outcomes”
The device was added to the BCIS dataset library in May 2019, with the request that all local data collection software should have libraries updated within 6 months. Full details of that library update are available on the BCIS web site: https://www.bcis.org.uk/resources/bcis-ccad-database-resources/datasets-history/
Please can you ensure that your dataset libraries are indeed up to date, and make sure to record the use of this device as appropriate.
Many thanks for your ongoing efforts to support our audit process
Peter Ludman (BCIS Audit Lead) & Nick Curzen (BCIS President)