Health: Coronary Care

House of Lords written question – answered on 16th July 2009.

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Photo of Earl Howe Earl Howe Shadow Minister, Health

To ask Her Majesty's Government further to the Written Answer by Lord Warner on 13 March 2006 (WA 192—3), how many additional and replacement cardiac catheter laboratories have been commissioned since 2001 under the major capital programme; and what was the total cost of the Treasury-funded cardiac capital programme.

Photo of Lord Darzi of Denham Lord Darzi of Denham Parliamentary Under-Secretary, Department of Health, Parliamentary Under-Secretary (Department of Health)

Catheter Laboratories are the facilities in which cardiologists undertake the main cardiological interventions for patients, such as angiography, angioplasty, pacemaker and implantable cardioverter defibrillator (ICD) implants. As part of the National Service Framework for Coronary Heart Diseases there has been a national programme to increase the number of catheter laboratories across the country and also replace old and outdated facilities. There are two main routes through which this has been delivered.

First, there is the £613 million revascularisation capital programme that started in 2001 and is due to be completed in 2009. This has been funded by the department and strategic health authorities.

Secondly, there is the £125 million Big Lottery Fund catheter laboratories programme that started in 2001 and was completed in 2006. This was funded half by the Lottery and half by the department.

The revascularisation capital programme comprised 29 developments across the country and included two completely new cardiothoracic centres, where services had not existed before, at Wolverhampton and Basildon and Thurrock. It provided major replacement centres at Blackpool, Liverpool, Hull, Nottingham, Manchester, Southampton, Plymouth and Bristol which included new wards, outpatient and diagnostic facilities, catheter laboratories, cardiac theatres and critical care beds. The programme also funded smaller schemes, some consisting of a single catheter laboratory suite. The total number of catheter laboratories constructed in this £613 million programme across all of the schemes is 53, of which 40 were additional catheter laboratories and 13 were replacements.

The Big Lottery Fund catheter laboratories programme made its first installations in 2002 and was completed in 2006. The programme has provided 90 brand new catheter laboratories and 72 of these are additional catheter laboratories and 18 replaced old and out-dated technology. Sixty-three of these laboratories have been developed in district general hospitals to provide improved local access (59 additional and four replacement) and 27 have been in tertiary centres cardiac centres (13 additional and 14 replacement) over and above the investment from the revascularisation capital programme.

Summary—Catheter Laboratories across Both Programmes
Programme Additional Catheter Labs Replacement Catheter Labs Total
Revascularisation Capital 40 13 53
Big Lottery Fund 72 18 90
Total 112 31 143

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