Quality statement 5: Symptoms not responding to treatment

Quality statement

People with stable angina whose symptoms have not responded to treatment are offered a re-evaluation of their diagnosis and treatment.

Quality measure

Structure: Evidence of local arrangements to ensure that people with stable angina whose symptoms have not responded to treatment are offered a re-evaluation of their diagnosis and treatment.

Process: Proportion of people with stable angina whose symptoms have not responded to treatment who have their diagnosis and treatment re-evaluated.

Numerator – the number of people in the denominator who have their diagnosis and treatment re-evaluated.

Denominator – the number of people with stable angina whose symptoms have not responded to treatment.

What the quality statement means for each audience

Service providers ensure systems are in place to re-evaluate the diagnosis and treatment of people with stable angina whose symptoms have not responded to treatment.

Healthcare professionals offer re-evaluation of diagnosis and treatment to people with stable angina whose symptoms have not responded to treatment.

Commissioners ensure they commission services that re-evaluate the diagnosis and treatment of people with stable angina whose symptoms have not responded to treatment.

People with stable angina whose symptoms are not improving with treatment are offered a re-evaluation of their diagnosis and treatment.

Source guidance

NICE clinical guideline 126 recommendation 1.7.1.

Data source

Structure: Local data collection.

Process: Local data collection.

Definitions

NICE clinical guideline 126 recommendation 1.7.1 describes the components that may be included in a re-evaluation of diagnosis and treatment:

  • exploring the person's understanding of their condition

  • exploring the impact of symptoms on the person's quality of life

  • reviewing the diagnosis and considering non-ischaemic causes of pain

  • reviewing drug treatment and considering future drug treatment and revascularisation options

  • acknowledging the limitations of future treatment

  • explaining how the person can manage the pain themselves

  • specific attention to the role of psychological factors in pain

  • development of skills to modify cognitions and behaviours associated with pain.