Quality statement 4: Multidisciplinary team

Quality statement

People with stable angina who have had coronary angiography, have their treatment options discussed by a multidisciplinary team if there is left main stem disease, anatomically complex three-vessel disease or doubt about the best method of revascularisation.

Quality measure

Structure: Evidence of local arrangements to provide a multidisciplinary team to discuss the risks and benefits of continuing drug treatment or revascularisation strategy for people with stable angina.

Process: Proportion of people with stable angina who have had coronary angiography who have their treatment options discussed by a multidisciplinary team if there is left main stem disease, anatomically complex three-vessel disease or doubt about the best method of revascularisation.

Numerator – the number of people in the denominator who have their treatment options discussed by a multidisciplinary team.

Denominator – the number of people with stable angina who have had coronary angiography who have left main stem disease or anatomically complex three-vessel disease, or if there is doubt about the best method of revascularisation.

What the quality statement means for each audience

Service providers ensure a multidisciplinary team discusses the treatment options for people with stable angina who have had coronary angiography, if there is left main stem disease, anatomically complex three-vessel disease or doubt about the best method of revascularisation.

Healthcare professionals ensure people with stable angina who have had coronary angiography have their treatment options discussed by a multidisciplinary team if there is left main stem disease, anatomically complex three-vessel disease or doubt about the best method of revascularisation.

Commissioners ensure they commission services that provide a multidisciplinary team to discuss the treatment options for people with stable angina who have had coronary angiography, if there is left main stem disease, anatomically complex three-vessel disease or doubt about the best method of revascularisation.

People with stable angina who have had coronary angiography (a procedure to check for narrowed or blocked arteries) have their treatment options discussed by a multi-disciplinary team, including a heart surgeon and specialist in heart procedures, if needed.

Source guidance

NICE clinical guideline 126 recommendation 1.5.8.

Data source

Structure: Local data collection.

Process: Local data collection.

Definitions

NICE clinical guideline 126 does not describe the composition of the multidisciplinary team but does state that it should include cardiac surgeons and interventional cardiologists.

The criteria for discussion of treatment options by a multidisciplinary team are not limited to left main stem or anatomically complex three-vessel disease or doubt about the best method of revascularisation. These are specific examples used to aid measurability.