NIAPP evaluation

Project title

Evaluation of the National Infarct Angioplasty Project Pilots.

Funder

NHS R&D Service Delivery and Organisation Programme

Publications

Goodacre S, Sampson F, Carter A, Wailoo A, O'Cathain A, Wood S, Capewell S, Campbell S. Evaluation of the National Infarct Angioplasty Project: Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R&D (NCCSDO), October 2008.

Sampson FC, O´Cathain A, Goodacre S. Feeling fixed and its contribution to patient satisfaction with primary angioplasty: a qualitative study. Eur J Cardiovasc Nurs 2008.

Project staff

Prof Steve Goodacre(Lead Investigator), Health Services Research.
Tel no: 0114 2220842

email : s.goodacre@sheffield.ac.uk

Fiona Sampson (Project Manager), Health Services Research.
Tel no: 0114 2220687

email : f.c.sampson@sheffield.ac.uk

Dr Angela Carter (Occupational Psychologist), Institute of Work Psychology
Tel no: 0114 2220729

email : a.carter@sheffield.ac.uk

Dr Alicia O'Cathain (Research Fellow), Health Services Research.
Tel no: 0114 2220770

email : a.ocathain@sheffield.ac.uk

Dr Allan Wailoo (Health Economist), Health Economics and Decision Science, ScHARR
Tel no: 0114 2220729

email : A.J.Wailoo@sheffield.ac.uk

Kathryn Paulucy (clerical officer), Health Services Research.
Tel no: 0114 2220763

email : k.paulucy@sheffield.ac.uk

Key Findings

  • Primary angioplasty was feasible and most likely to be effective when patients were transferred directly to angioplasty facilities
  • Primary angioplasty was more expensive than thrombolysis-based care but appeared to represent a cost-effective use of NHS resources for patients taken directly to an angioplasty centre
  • Patients and carers reported high levels of confidence in treatment with angioplasty and satisfaction with the speed and efficiency of care, although they had concerns about discharge and aftercare
  • Establishing the full primary angioplasty service from the start appeared to work better than incremental expansion
  • Staff pay and conditions need to be harmonised before commencing the service to ensure that team members receive similar rewards and rest after out-of-hours working