Introduction and overview

Introduction and overview

This quality standard covers diagnosis of stable angina, medical management, revascularisation and re-evaluation of refractory symptoms.


Stable angina is a chronic medical condition associated with a low but appreciable incidence of acute coronary events and increased mortality. The aim of management is to improve quality of life by stopping or minimising symptoms and reducing long-term morbidity and mortality.

This quality standard describes markers of high-quality, cost-effective care that, when delivered collectively, should contribute to improving the effectiveness, safety and experience of care for people with stable angina in the following ways:

  • Preventing people from dying prematurely.

  • Enhancing quality of life for people with long-term conditions.

  • Helping people to recover from episodes of ill health or following injury.

  • Ensuring that people have a positive experience of care.

  • Treating and caring for people in a safe environment and protecting them from avoidable harm.

These overarching outcomes are from The NHS Outcomes Framework 2012/13.


The quality standard for stable angina requires that services should be commissioned from and coordinated across all relevant agencies encompassing the whole care pathway. An integrated approach to provision of services is fundamental to the delivery of high quality care to people with stable angina.

The Health and Social Care Act 2012 sets out a new responsibility for NICE to develop quality standards and other guidance for social care in England. As part of our preparation for taking on this new role in April 2013, the Department of Health has asked NICE to run a pilot programme for developing social care quality standards using two topics. More information on this pilot programme of work is available.