Dear all,
There is a DOH review of the 20 minute target underway. I am /will be
involved in it as part the CHD Collaborative National team along with the
CHD Collaborative Clinical Lead, Judith Fisher with a pre hospital slant,
Douglas Chamberlain as a grand old man of Cardiology, Tom Quinn as DOH CCU /
nursing angle. The review is being led by Joe Carver who also works for the
CHD Collaborative. The feeling so far is that the 20 minute target may not
be the one to focus on and that the 60 minute call to needle is a better
target and nearer the time that really matters of pain to needle but is the
bit we have control of in the health system. How do people feel about
this????- Comments very welcome as big meeting on Friday
Dr Katherine Henderson
A&E Homerton/RLH
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 14, 2002 10:39 AM
Subject: Re: Hurry up there get a move on!!!![Scanned]
> The inside word is that this may not go ahead and that door to needle
times will be kept at 30mins - there is concern that insufficient hospitals
will be able to achieve 20mins and the government will not look good
> FB
>
> ----------
> From: p=NHS NATIONAL
INT;a=NHS;c=GB;dda:RFC-822=ACAD-AE-MED(a)JISCMAIL.AC.UK;
> Sent: 14 October 2002 10:34
> To: p=NHS NATIONAL
INT;a=NHS;c=GB;dda:RFC-822=ACAD-AE-MED(a)JISCMAIL.AC.UK;
> Subject: Re: Hurry up there get a move on!!!![Scanned]
>
> I am really excited by this. What is the source of your info.?
>
> JP
>
> >>> Danny McGeehan 10/12/02 07:09pm >>>
> Door to needle times are to be reduced from 30 to 20 mins in the
next 12
> months in spite of the fact that there is no literature to support
the
> clinical effectiveness of this move. The rationale being that if
it is
> quicker it must be better. A&E Depts showing a 100% compliance
will be given
> Beacon status and the lead clinicians will be given 3 DP's.
>
> Units that do not acheive the golden 30 min rule will be
downgraded to trauma
> centres. However to improve the targets and to crank up the A&E
staff who are
> not working efficiently or dare I say it hard enough there are now
plans afoot
> to reduce door to needle times even more and figures of 10 mins or
dare I say
> it 5 minutes are being quoted to make the system one of the most
efficient in
> the world. Already clinical staff are being recruited to collate
data from
> overstaffed units to monitor the effectiveness of the new targets.
>
> Don't say you haven't been warned I heard this from a usually very
reliable
> source. Please keep it under your hat.
>
> Danny McGeehan
>
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