Category Archive: General
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
The health and social care system is facing significant pressures due to the COVID-19 outbreak. Staff need to work in different ways than usual and we want to ensure that they can focus on responding to these events.
NHSX and NHS Digital have therefore made the decision to extend the compliance deadline for the national data opt-out which was 30 September 2020 to 31 March 2021.
Visit our National Data Opt-out page
Visit our COVID-19 information page
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)
Thank you for your continued support for the National Cardiac Audit Programme.
We can confirm that the data deadline for the 2019/20 data submission has been extended to 31 July 2020 to take into account the disruption caused by the COVID-19 pandemic. This extension covers all six clinical domains of NCAP.
We are unable to extend this deadline further due to the strict timelines as set out by our commissioners.
Researchers at King’s College London have developed a tracker app to collect data about COVID-19 from members of the public. We can all help in the fight against this international pandemic by downloading the COVID ZOE app and reporting daily, even if we feel well.
People with cardiovascular conditions are more vulnerable to the more severe complications of the illness, so it is especially important for researchers to collect data from people with these conditions. The information gathered may help explain some of the increased risk and thereby help with steps to reduce this. There is also an interactive map on the research website which gives an estimated percentage of people in your area who are symptomatic.
The app is endorsed by NHS England, as well as the NHS in the devolved nations, and 2.5 million people have so far downloaded it to participate in the research. When you first join up you are asked to answer a few short questions about yourself and your health. The researchers will then be able to gain a greater understanding of which population groups are at greater risk, which symptoms are common and how local outbreaks are spreading or reducing.
Download the app today at https://covid.joinzoe.com
NICOR is playing a significant role in assisting the UK Government and healthcare system in its response to the COVID-19 pandemic. We are using our data to analyse the impact of COVID-19 on routine cardiovascular care, as well as outcome from the infection. We are very grateful to the cardiovascular profession for emphasising the importance of timely collection and submission of data in these extraordinary times.
Please see the below link for a letter from the clinical leads of the National Cardiac Audit Programme and the joint cardiovascular Professional Societies.
Letter from the cardiovascular Professional Societies
In conjunction with UCL Partners we are delighted to be able to link to a video of the Quality Improvement (QI) Roadshow held in Leeds on Friday 6 March 2020. Please share with any colleagues who you think would be interested!