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<p>NHS England Specialised Commissioning has a published service specification for
cardiac surgery, to support national standards, which include this highly serious
condition.</p><p>It is recognised that survival rates for emergency interventions
are better when care is delivered by a surgeon supported by interventional specialists
undertaking higher volumes of these procedures. This point was also highlighted in
the Cardiac Surgery Getting It Right First Time (GIRFT) 2018 document, and the NHS
England Specialised Cardiac Improvement cardiac surgery work stream is taking forward
the GIRFT recommendations, which will also look at how pathways of care for this and
other specialised cardiac conditions can be improved by better network working across
providers.</p>
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