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An Investigation into the Effects of Opening a Cardiac Centre in Middlesbrough

An Investigation into the Effects of Opening a Cardiac Centre in Middlesbrough. Neil Macknight Senior Information Manager. Background. Pre 1993- Cardiac Centre at Freeman Hospital, Newcastle. Perceived geographical bias for specialised cardiac treatment.

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An Investigation into the Effects of Opening a Cardiac Centre in Middlesbrough

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  1. An Investigation into the Effects of Opening a Cardiac Centre in Middlesbrough Neil Macknight Senior Information Manager

  2. Background • Pre 1993- Cardiac Centre at Freeman Hospital, Newcastle • Perceived geographical bias for specialised cardiac treatment • 1993- Additional Cardiac Centre opened in Middlesbrough What was the impact of the opening of the Middlesbrough cardiac centre on Revascularisation rates?

  3. Methodology • Numerator- HES Data for Revasc Procedures 1989-1997 • Proxy indicator for need- HES Admissions for IHD • Proxy indicator for need- Deaths from IHD 1989-1997 • Population Data: PROBLEMS

  4. 30 25 Newcastle 20 North Tyneside 15 Revascularisations in 89-90 to 91-92 (sq rt) Sunderland Blyth Valley 10 Gateshead Castle Morpeth Redcar & Cleveland Middlesbrough 5 0 0 10 20 30 40 50 60 MI admissions in 89-90 to 91-92 - revascs (sq rt) Before opening Middlesbrough Cardiac Centre

  5. 30 Redcar & Cleveland 25 Middlesbrough Sunderland 20 Hartlepool 15 South Tyneside Revascularisations in 94-95 to 96-97 (sq rt) Darlington Durham 10 Tynedale Chester-le-Street Berwick 5 0 0 10 20 30 40 50 60 MI admissions in 94-95 to 96-97 - revascs (sq rt) After opening Middlesbrough Cardiac Centre

  6. Geography

  7. 90 80 Deprivation quintile 1 Deprivation quintile 2 70 Deprivation quintile 3 Deprivation quintile 4 Deprivation quintile 5 60 50 Rate of revascularisations per 100 MI admissions 40 30 20 10 0 95-96 96-97 89-90 90-91 91-92 92-93 93-94 94-95 Deprivation

  8. Revascularisation Provision 2005/06 (Provisional HES Data)

  9. Patient Flow 2005/06 (Provisional HES Data)

  10. Next Steps • Journal Paper • Drive time analysis • What next?

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