National Audit of Percutaneous Coronary Interventions (NAPCI)
The Angioplasty audit (Percutaneous Coronary Interventions (PCI) collects data on all activity carried out in NHS hospitals and a selection of private hospitals throughout the UK.
What is Percutaneous Coronary Interventions (PCI)?
Angioplasty, clinically known as percutaneous coronary interventions (PCI) is obstructions in the heart arteries that supply the heart muscle with blood. This can lead to exertion-induced chest pain (called angina). If these symptoms cannot be controlled by medical treatment, then patients can often be helped by methods to improve blood flow, overcoming the obstructions. There are two techniques: percutaneous coronary intervention (PCI) (also referred to as ‘angioplasty’) and coronary artery bypass grafting (CABG).
Adult Percutaneous Coronary Interventions audit (NAPCI)
The 2024 NAPCI report (coming soon) looks at all procedures undertaken in NHS hospitals in the UK, as well as a selection of private hospitals, between 01 April 2022 to 31 March 2023. This provides an overview of the delivery of PCI services in the UK during this time frame (such as activity and trends), as well as reporting on several specific quality improvement (QI) metrics. These are derived from national and/or international standards and guidelines. Several important metrics reported here which relate to the management of patients with acute coronary syndromes are also included in the joint MINAP/NAPCI Heart Attack report.
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Clinical Outcomes Publication (COP) programme
Activity, case mix, data completeness and outcomes following PCI for every consultant PCI operator and every PCI centre are available via the website.
These web pages provide some background about coronary heart disease and its treatment by interventional techniques. There are descriptions about the data collected to assess quality, and an explanation about each component of these data, and why they are relevant in the assessment of quality. There are sections explaining the way in which the assessments have been made including a description of the statistical methods. The analyses of every operator and centre follow, with a simple search interface. Both the strengths and the limitations of conclusions that can be drawn need to be understood. Clinicians may appear to have better or worse outcomes for a variety of reasons, many of which are unrelated to the individual operators and their teams.
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PCI audit slide deck
The PCI audit slide deck is a pdf document of slides which contain detailed information about the structure of PCI provision in the UK, and about the appropriateness, process and outcomes from PCI. The current analysis and the analyses of previous year’s data are available for download.
- PCI audit slide deck interactive and
- PCI audit slide deck PDF (link to the document download)
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Report documents 2024
Previous reports for Adult Percutaneous Coronary Interventions audit (NAPCI) are available to download via the Previous reports page.
Project Manager: Samuel Perwaiz
Project Coordinator: Jane Kerr
Contact email: nicor.auditenquiries@nhs.net