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NRAC
1. The National Refractory Angina Centre
Royal Liverpool and Broadgreen University Hospital,
Liverpool, UK
www.angina.org
Professor Mike Chester, Director
2. The National Refractory Angina Centre
Royal Liverpool and Broadgreen University Hospital,
Liverpool, UK
www.angina.org
âCardiologyâs best kept secretâ
Professor Mike Chester, Director
6. National Awards
âą National Nye Bevan award 2000
âą National NHS Hospital Doctor
award 2002
âą Health Service Journal Kingâs
Fund Safety ward highly
commended 2003
âą UK Customer Experience award
2009
7. Ann Keen Health Minister,
HANSARD 15 Oct 2008
âThe ongoing development of
the NRAC as a national
and international centre of
excellence for the treatment
and management of
refractory angina, âŠ
8. means that we have not only
the best possible service to
which people in this country
can be referred for that
condition,âŠâŠ
9. âŠ.. but a blueprint for the
development of other such
services elsewhere.â
16. âNRACâs involvement of
patients and carers at every
stage of the development of
their careâŠâŠ. is something
from which the rest of the
NHS could learn â
29. Joint American Cardiology associationsâ
Stable Angina guidelines
http://www.americanheart.org/presenter.jhtml?identifi
er=3004542
âŠâŠChief among these
neglected areas is the education
of patients.â
31. âą improves quality of life1
âą reduces angina frequency and
severity1
âą improves function2
âą reduces hospital admissions3
âą reduces incidence of MI3
1. Moore R et al., Eur J Pain. 2005 Jun;9(3):305-10)
2. Moore R et al., J Pain & Symptom Management;33(3):310-316
3. Furze J et al., Psychosomatic Res 2005 59: 323-29
32. âąreduces demand for
palliative cardiac procedures
(bypass and stents) 1,2,3
1. EurHeart J 1997;18:394-413
2. Lewinet al. British Journal of Cardiology 1995; 2(8):
221-226
3. OrnishD. Am J Cardiol. 1998 Nov 26;82(10B):72T-76T.
36. âThe economic savings
and impact on activity and
waiting list targets have
the potential for
efficiencies and
modernisationâ
37. Bob Ricketts (Head of Access
Policy Development and
Capacity Planning at the DoH) to
Duncan Selbie, (Director General
of Commissioning DoH) 2006
38. âI heard Mike [Chester] present at
Harrogate and have also discussed with
Ian Rutter and others the underpinning
evidence. This is deeply impressive work
which could generate substantial benefits
in terms of improved patient care and
value for money.â
39. âI heard Mike [Chester] present at
Harrogate and have also discussed with
Ian Rutter and others the underpinning
evidence. This is deeply impressive work
which could generate substantial benefits
in terms of improved patient care and
value for money.â
40. Judge of Judges UK
Customer Experience
Award 2009
âNRAC is the NHS
experience that the
patient has been
waiting forâ
51. Joint American Cardiology associationsâ
Stable Angina guidelines
http://www.americanheart.org/presenter.jhtml?identifi
er=3004542
âŠâŠChief among these
neglected areas is the education
of patients.â
52. Over 99% of NRAC
patients agree with the
authorities and think
patients should be
properly educated
before operations