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Waiting times for rapid access chest pain clinic

Waiting times for rapid access chest pain clinic

Rationale

The Government target is that all patients referred by their GP to a rapid access chest pain clinic should be seen within two weeks. This indicator only applies to those patients whose referral was received by the clinic within 24 hours of the GP deciding to refer.

Thresholds

Legend
Band 1 - poor Less than 70%
Band 2 Greater than or equal to 70% and less than 80%
Band 3 Greater than or equal to 80% and less than 90%
Band 4 Greater than or equal to 90% and less than 99%
Band 5 - good Greater than or equal to 99%

Data source and period

LDPR standard collection (Financial Year 2004/05)

Construction

Numerator:
Number of patients with recent onset chest pain (i.e. pain in the last month) thought to be angina (i.e. the GP has made a clinical decision that symptoms are indicative of angina and are worthy of further investigation) seen in a cardiologist supervised facility for the assessment of patients with recent onset chest pain (rapid access chest pain clinic) within 14 days of the GP deciding to refer. This facility should work under protocols set up by a cardiologist or general physician with an interest in cardiology, and staff are able to call on a cardiologist/general physician with an interest in cardiology although the consultant does not have to be present at all times. This only applies to those patients whose referral is received by the clinic within 24 hours of the GP deciding to refer.

Denominator:
Number of patients with recent onset chest pain (ie pain in the last month) thought to be angina (ie the GP has made a clinical decision that symptoms are indicative of angina and are worthy of further investigation) referred to a cardiologist supervised facility for the assessment of patients with recent onset chest pain (rapid access chest pain clinic). This facility should work under protocols set up by a cardiologist or general physician with an interest in cardiology, and staff are able to call on a cardiologist/general physician with an interest in cardiology although the consultant does not have to be present at all times. This only applies to those patients whose referral is received by the clinic within 24 hours of the GP deciding to refer.

Indicator:
Number of patients seen in RACPCs after decision to refer (where referral was received within 24 hours) within 14 days divided by the number of patients with new onset chest pain thought to be angina seen in a RACPC where referral was received within 24 hours.

Expressed as a percentage.


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