NICOR (the National Institute for Cardiovascular Outcomes Research) analyses data submitted by NHS clinicians about heart disease patients' quality of care and outcomes. NICOR is committed to providing appropriately analysed, accurate outcome data in a timely manner which is understandable by the public, healthcare providers and the medical profession. We work closely with the specialist Clinical Societies. More...
Published: Apr 12, 2013 2:48:03 PM
Cardiac patients and their families are set to receive a major boost in information about heart conditions with the launch today of the two major patient-focused reports covering heart attack and heart failure care. More...
Published: Jan 30, 2013 4:45:25 PM
Published: Jan 29, 2013 7:06:02 AM
The National Heart Failure Audit 2011/12 Annual Report was published on 27th November 2012. More...
Published: Nov 27, 2012 9:29:41 AM
Myocardial Ischaemia National Audit Project (MINAP) has published its 11th Annual Public Report reporting on performance against national standards for hospitals that admit patients with a heart attack. More...
Published: Nov 15, 2012 12:24:33 AM
'Chase and run' cell movement mechanism explains metastasis
Jun 17, 2013 09:08AM
A mechanism that cells use to group together and move around the body – called 'chase and run' - has been described for the first time by scientists at UCL.Read more...
Blood pressure at night is higher than previously thought
Jun 11, 2013 11:05AM
Scientists at UCL have developed new technology which reveals that blood pressure measured close to the heart is much higher during sleep than previously thought. Night time blood pressure is a strong predictor of both heart disease and stroke, with previous studies establishing that blood pressure measured over the arm falls at night during sleep. However these new data indicate that the night-time decline in blood pressure may be less extensive than previously thought.Read more...
UCL awarded £11.1m towards new Institute of Immunity and Transplantation
Jun 06, 2013 22:59PM
UCL has been awarded £11.1 million from the UK Research Partnership Investment Fund (UKRPIF) towards the cost of the new UCL Institute for Immunity and Transplantation at the Royal Free Hospital in Hampstead.Read more...
National Heart Failure Audit
The information that has been made available on data.gov.uk comes from the National Heart Failure Audit 2011/12 Annual Report, and can be found here.
The National Heart Failure Audit is publishing analysis at a hospital level from its 2011/12 Annual Report on data.gov.uk in order to increase the public availability of information pertaining to the treatment of acute heart failure in England.
This dataset contains information on the clinical treatment of acute heart failure patients in hospitals in England between 1 April 2011 and 31 March 2012.
These analyses do not include any data about individual patients, nor do they contain any patient identifiable data.
Patients included in the audit are those with a primary discharge diagnosis of heart failure, defined by the following ICD-10 codes (the diagnosis codes assigned to patients when they are discharged from hospital):
- I50.0 Congestive heart failure
- I50.1 Left ventricular failure
- I50.9 Heart failure, unspecified
- I11.0 Hypertensive heart disease with (congestive) heart failure
- I42.0 Dilated cardiomyopathy
- I25.5 Ischaemic cardiomyopathy
- I42.9 Cardiomyopathy, unspecified
This means that the main reason for their admission to hospital was heart failure.
Analyses are published for all hospitals which submitted at least 100 patient records in 2011/12, or achieved at least 70% case ascertainment, measured against Hospital Episode Statistics (HES) data on heart failure admissions.
The analyses contained in the dataset were first published on 27 November 2012 in the National Heart Failure Audit 2011/12 Annual Report.
Analysis from the National Heart Failure Audit requires careful interpretation, and the information should not be looked at in isolation when assessing standards of care. This is the first year for which hospital level analysis has been published, and much of the variation between sites may be down to data quality issues, rather than actual variation in the standard of care. However, publishing this data constitutes an important step towards improving data quality.
Numerators and denominators for the analyses included are not provided. This is because the National Heart Failure Audit Implementation Group decided to refrain from publishing data relating to inpatient mortality until a satisfactory covariate model has been developed to adjust the data for confounding factors (e.g. age and demographics of patient population, severity of symptoms at admission, medical history).
Each year analysis from the National Heart Failure Audit will be made on the data.gov.uk website. The analysis is also included in the National Heart Failure Audit Annual Report, which is publicly available on the NICOR website:
analyses measure clinical practice in the treatment of heart failure in hospitals
submitting data to the National Heart Failure Audit. The audit dataset is based
on NICE guidelines for the treatment of heart failure, detailed in its Clinical Guideline 108 and Quality Standard 9.
The analyses included are as follows:
- Records submitted: number of records submitted to the audit in 2011/12.
- % received echo: percentage of patients who had an echocardiogram. The denominator for this analysis is all patients.
- % cardiology inpatient: percentage of patients who spent the majority of their time in hospital on a cardiology ward. The denominator for this analysis is all patients.
- % ACEI/ARB on discharge: percentage of patients prescribed an angiotensin converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB) on discharge. The denominator for this analysis is all patients with a diagnosis of left ventricular systolic dysfunction (LVSD) who survived to discharge.
- % beta blocker on discharge: percentage of patients prescribed a beta blocker on discharge. The denominator for this analysis is all patients with a diagnosis of left ventricular systolic dysfunction (LVSD) who survived to discharge.
- % referred to HF liaison service: percentage of patients referred to a heart failure nurse led follow-up service on discharge. The denominator for this analysis is all patients with a diagnosis of left ventricular systolic dysfunction (LVSD) who survived to discharge.
- % referred to cardiology follow-up: percentage of patients referred to a cardiologist-led follow-up service on discharge. The denominator for this analysis is all patients who survived to discharge.
More information about the treatment of heart failure in England and Wales, and hospital level analysis for Welsh hospitals can be found in the National Heart Failure Audit 2011/12 Annual Report.
analysis is reported at hospital level, for every hospital in England which admitted patients with acute heart failure in 2011/12. Welsh hospitals are not included in the analyses published on data.gov.uk, but analyses for Welsh hospitals can be found in the National Heart Failure Audit Annual Reports.
Analyses are included for every eligible hospital which submitted at least 100 patient records, or records from 70% of all of their heart failure patients, to the audit. Case ascertainment is measured against HES recorded heart failure admissions.
submitting fewer data than this were excluded because the National Heart
Failure Audit Project Board deemed the numbers in such cases to be too low to
produce accurate analysis. An asterisk (*) in the data file replaces excluded
data; 29 hospitals had analyses excluded due to a small number of records. A
blank cell indicates that a hospital submitted no data; 21 hospitals in England submitted
no data to the audit in 2011/12.
The analyses cover the period from 01/04/2011 to 31/03/2012.
For further information, please contact Polly Mitchell at email@example.com.
Page last modified on 06 feb 13 15:51