Heart Improvement: 18 Weeks Whole Pathways

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Medical Conditions and Contexts of Care:
Improvement Challenges:

This NHS Improvement project reviewed, identified and supported the practical implementation of ways to reduce the waiting time from GP referral to definitive treatment, exploring in detail what really works.


The demonstration sites involved in this project were seven cardiac networks and some 25 NHS Trusts (including foundation trusts). The scope of the project covers the main 18 week bottlenecks/constraints including: outpatients; diagnostics; secondary to tertiary care interface, and; some sites taking a whole pathway approach. In addition, a number of projects looked at specific sub process issues particularly in relation to patient data, tracking and the Interprovider Administrative Minimum Data Set.