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