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).
Commissioning and service provision consensus
The commissioning and service provision consensus document on NSTEACS:
- highlights that many patients with non-ST-segment-elevation myocardial infarction do not receive guideline-recommended interventions
- outlines the rationale for commissioners to take action
- includes case studies from Middlesbrough, Sheffield, and Wessex, where changes to care have led to a better patient experience and improved efficiencies
- includes factors to consider when planning a change and where to go for support and resources.
Related information and resources
- Myocardial Ischaemia National Audit Project
- NICE Implementation Collaborative
- West Midlands AHSN:
- References on improving care for NSTEMI:
- Hall M, Dondo T, Yan A et al. Association of clinical factors and therapeutic strategies with improvements in survival following non-ST-elevation myocardial infarction, 2003-2013. JAMA 2016; Aug 30. doi: 10.1001/jama.2016.10766
- Schiele F, Gale C, Bonnefoy E at al. Quality indicators for acute myocardial infarction: a position paper of the Acute Cardiovascular Care Association. Eur Heart J Acute Cardiovasc Care 2016; Aug 29. pii: 2048872616643053
- Wu J, Gale C, Hall M et al. Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Eur Heart J Acute Cardiovasc Care 2016; Aug 29. pii: 2048872616661693
Reducing variation in care: NIC projects
- Currently reading
Commissioning consensus—Non-ST-elevation acute coronary syndromes