Access to Cardiac Pacing ICDs and CRT in the United Kingdom

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Access to Cardiac Pacing ICDs and CRT in the
United Kingdom
West Yorkshire Cardiac Network
15th July 2008

• Network Devices Survey Group

Richard Charles, David Cunningham, Morag
Cunningham, Janet McComb, Chris Plummer
A Department of Health / Heart Rhythm-UK/BCS /
National Pacemaker Database Project
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2006 National Summary Report
Network Devices Survey Group
Web publication December 2007
http//www.devicesurvey.com
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UK 2006 41,020 devices were implanted
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PM new implant rate versus age
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PM New/M pop Average 460 UK Target 700 Highest
795 Lowest 285
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ICD New/M pop
Average 48 UK Target 100 Highest 73 Lowest 26
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CRT New/M pop
Average 56 UK Target none yet set
Highest 136 Lowest11
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National Implant Rate Maps
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Network Devices SurveyWhat we have done

• Examine local practice
• 2003 and 2004
• Feedback reports
• Highlight deficiencies
• Suggest improvement strategies
• Review 2005
• Highlight any changes
• Result
• 15 increase in deviceprovision in 2006

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Growth in Device Implants
2003 - 2006
UK
Low rate,Low growth
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Conclusions 2006 National

• 15 increase device implants and UK growth rate
  an exciting positive change
• Some Networks show a sustained implant rate
  increase in some or all implant classes
• Under provision and inequity remain starkly
  present
• Education, awareness raising, investment in
  devices, national audit, and our local central
  sustained efforts remain critical