The SCTS (Society for Cardiothoracic Surgery in UK and Ireland) provides specialist clinical knowledge and clinical leadership of the collected data. The overall objective of the NICOR cardiac audits is to provide information to enable those who receive, deliver and commission healthcare to measure and improve services.
The National Adult Cardiac Surgery Audit (NACSA) collects data on all major heart operations carried out on NHS patients in the UK. The audit is managed by NICOR, with clinical direction and strategy provided by the Society for Cardiothoracic Surgeons (SCTS) and the Project Board.
The NACSA is part of the National Clinical Audit Patient Outcomes Programme (NCAPOP), which is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and funded by NHS England.
The National Adult Cardiac Surgery Audit (NACSA) collects consecutive operation data from all NHS hospitals in the UK that carry out adult heart surgery. A number of Irish and UK private surgical units also voluntarily submit data.
The project, which has been running since 1977, enables secure collection and analysis of cardiac surgery data, as well as long-term tracking of mortality. Participation in the audit is mandatory for relevant English and Welsh hospitals as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP).
The project aims to improve the clinical outcomes for cardiac surgery patients by making publicly available comparisons of local hospital and consultant surgeon results against national benchmarks.
Analysis of NACSA data is reported to participating hospitals, Cardiac Networks, NHS regulatory bodies such as the CQC) and the public. This drives the development of cardiac surgery services by encouraging shared learning and the improvement of identified poor performance. The audit is also designed to enhance understanding of clinical trends and develop risk adjustment models for outcome measures, such as mortality.
A consultant cardiothoracic surgeon with specialist clinical knowledge and clinical leadership for NACSA is provided by the Society for Cardiothoracic Surgeons (SCTS) and the audit Project Board.
NACSA is managed by NICOR with specialist clinical knowledge and clinical leadership provided by the Society for Cardiothoracic Surgeons (SCTS) and assisted by the audit steering group.