The 60minute target seems much more relevant for the patient's outcome than
consideration of just the hospital phase.
John

> ----------
> From:         Katherine Henderson[SMTP:[log in to unmask]]
> Reply To:     Accident and Emergency Academic List
> Sent:          14 October 2002 22:20
> To:   [log in to unmask]
> Subject:      Re: Hurry up there get a move on!!!![Scanned]
>
> 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
> >
>