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BCIS Audit Returns Adult Interventional Procedures Jan 2004 to Dec 2004

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BCIS Audit Returns Adult Interventional Procedures Jan 2004 to Dec 2004. Peter F Ludman BCIS National Audit Officer On behalf of British Cardiovascular Intervention Society. Bristol 2005. Audit Domains. Structure Appropriateness Process Outcome. 2004 data: Ludman.

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  1. BCIS Audit ReturnsAdult Interventional ProceduresJan 2004 to Dec 2004 Peter F Ludman BCIS National Audit Officer On behalf of British Cardiovascular Intervention Society Bristol 2005

  2. Audit Domains • Structure • Appropriateness • Process • Outcome 2004 data: Ludman

  3. Angiography Centres - 2004 19 New Angiography Only centres 2004 2004 data: Ludman

  4. Angiography Centres - 2004 2004 data: Ludman 1 Stopped • North Tyneside (to Freeman Hospital) 1 Swapped • St Albans → fixed lab in Hemel Hempstead 3 Started PCI in 2004 Torbay BUPA Hull Southend TOTAL: 83 Angiography Only Centres (increase of 15 from 2003)

  5. PCI Centres - 2004 2004 data: Ludman 3 Angio only centres now performing PCI in 2004 • Torbay • Southend • BUPA Hull New PCI centres in 2003 • Manor Hospital, Oxford TOTAL: 77 PCI Centres (increase of 4 from 2003)

  6. 2004 data: Ludman UK Centres - 2004

  7. 2004 data: Ludman PCI Centres NHS (1)

  8. 2004 data: Ludman PCI Centres NHS (2) England (cont)

  9. 2004 data: Ludman PCI Centres NHS (3)

  10. 2004 data: Ludman PCI Centres - Private

  11. 2004 data: Ludman Angiography Only Centres (1)

  12. 2004 data: Ludman Angiography Only Centres (2)

  13. 2004 data: Ludman Angiography Only Centres (3)

  14. 2004 data: Ludman 2004 PCI centres 77 Angiography only Centres 83

  15. 2004 data: Ludman UK Interventional and Diagnostic centres2004 Missing cath data estimated from 2003 figures

  16. 2004 data: Ludman UK Interventional and Diagnostic centres2004 Missing cath data estimated from 2003 figures if known

  17. 2004 data: Ludman Centres Not ReportingPCI numbers for 2004 • Southend • St Peter's Hospital, Chertsey • (Belfast City Hospital – very late) • BMI Park Hospital

  18. 2004 data: Ludman UK Interventional and Diagnostic centres2004 Missing cath data estimated from 2003 figures if known

  19. 2004 data: Ludman PCI per Angiogram ratio

  20. 2004 data: Ludman PCI per Angiogram ratioESC Survey 2003 Cook S for Working Group on Interventional Cardiology (WG 10) of the ESC In Press

  21. 2004 data: Ludman Rate of increase in PCI numbers pmp

  22. PCI activity to 2004 (UK) 2004 data: Ludman

  23. 2004 data: Ludman Total PCIs in the UK Countries Total No.s of PCI

  24. 2004 data: Ludman Population estimates Mid 2004 Total UK: 59.8 m Scotland 5.08 m Northern Ireland 1.71 m England 50.09 m Welsh Rx in England 0.7 m Total Rx in England 50.79 m Wales 2.95 m Rx in Wales: 2.25 m

  25. 2004 data: Ludman PCIs/million UK Countries(2000 to 2004)

  26. 2004 data: Ludman PCI vs Isolated CABG Numbers (UK)Data from BCIS and SCTS Registry Note: CABG data for financial yr all PCI v NHS CABG CABG data for 2003 and 2004 from DoH

  27. PCI vs Isolated CABG Ratio (UK)Data from BCIS and SCTS Registry 2004 data: Ludman

  28. Cardiovascular Diseases in Europe 2004 Euro Heart Survey 3rd Report www.escardio.org/knowledge/ehs/slides/

  29. Cardiovascular Diseases in Europe 2004 www.escardio.org/knowledge/ehs/slides/ Euro Heart Survey 3rd Report

  30. 2004 data: Ludman Annual Procedures per cath lab(NHS centres)

  31. 2004 data: Ludman Number of PCIs performed in NHS Centres(Total Per Annum) Data from: 57 of 58 centres (2 centres estimated data)

  32. 22 of 77 Units performing day case PCI Total of 3018 procedures performed (21% increase cf 2003) 4.8% of all PCI procedures (4.6% 2003) 2004 data: Ludman Day Case PCI Data from: 64 of 77 centres

  33. 2004 data: Ludman No. of Interventional Consultants(NHS centres) Data from: 57 of 58 centres Note: if work at two NHS centres will be counted twice Includes cardiologists and radiologists

  34. 2004 2004 data: Ludman No. of Interventional Consultants(NHS centres) • Mean • 2000 5.5 • 2001 6.1 • 6.5 • 6.7 • 7.4

  35. No. of PCIs per Consultant (NHS Centres)2004 data from 56 of 58 centres 2004 data: Ludman Mean PCI/consultant 2000 125 2001 126 2002 138 2003 139 2004 143 Note: data from institutional volume divided by No operators per institution

  36. 2004 data: Ludman Visiting Interventionists(NHS Centres)2004 data from 57 of 58 centres

  37. 2004 data: Ludman Visiting Interventionists(NHS Centres)

  38. 2004 data: Ludman Surgical Cover(NHS Centres)

  39. STEMI

  40. 2004 data: Ludman Primary PCI for STEMI • Do you offer at least some PCI for STEMI? Data from: 55 of 58 centres

  41. 2004 data: Ludman Primary PCIRoutine Rx for STEMI Working Hours Only 24/7 Number of Centres Data from: 55 of 58 centres

  42. 2004 data: Ludman Primary PCIRoutine Rx for STEMI Working Hours Only 24/7 Data from: 55 of 58 centres

  43. 2004 data: Ludman PCI for STEMI(2004 NHS Hospitals: data from 48 of 58 units) 5.5% of all PCI activity

  44. 2004 data: Ludman PCI for STEMI(2004 NHS Hospitals: data from 48 of 58 units)

  45. 2004 data: Ludman PCI for All STEMI2004 data from 48 of 58 centres Total 3447 procedures No data

  46. 2004 data: Ludman PCI for All STEMI2004 data from 48 centres Total 3447 procedures

  47. 2004 data: Ludman Primary PCI for STEMI2004 data from 48 centres Total 1438 procedures No data

  48. 2004 data: Ludman Primary PCI for STEMI2004 data from 48 centres Total 1438 procedures

  49. 2004 data: Ludman Primary PCI for STEMI As Percentage of Each Centre’s PCI Activity

  50. 2004 data: Ludman Primary PCI – the experience