NSTEACS: aiming to improve patient outcomes and experiences

The NICE Implementation Collaborative (NIC) clinical and commissioning and service provision consensus documents on NSTEACS have been developed by the NHS and are for use by the NHS. It is hoped that these documents will support clinicians and commissioners involved in the provision of care for patients with NSTEACS, and stimulate changes to reduce variation and improve outcomes.

The NIC would like to express its thanks to AstraZeneca (AZ) for sponsorship of this project. The bi-partisan support provided by AZ to initiate and oversee the project has been central to the project’s aim of improving NSTEACS patient outcomes (please refer to the individual documents for the full disclaimers).

Clinical consensus 

The clinical consensus document on NSTEACS:

  • covers pre-hospital care, in-hospital management, and post-discharge follow up
  • includes an algorithm on the NSTEACS pathway 
  • focuses on practical recommendations for implementing best clinical practice
  • aligns the Kotter eight-step change model with a real-life case study on achieving a target of getting 80% of patients to the catheterisation lab within 60 hours of admission

Case studies

Reducing variation in care: NIC projects