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<p>We recognise that accurate and rapid assessment of suspected acute aortic dissection
is crucial. Computerised tomography plays a central role in the diagnosis to allow
expedited management and all acute hospitals with emergency departments have the capacity
to make the diagnosis.</p><p>NHS England and NHS Improvement are aware of the findings
of the Healthcare Safety Investigation Branch’s recent investigation into delayed
recognition of acute Aortic Dissection, and these recommendations have been included
in the actions being taken forward with hospitals.</p><p>NHS England and NHS Improvement
Specialised Commissioning is progressing the Thoracic Aortic Dissection service specification
and have identified resource to support this as one of the priorities within the Specialised
Vascular Clinical Group work programme.</p><p>It should also be noted that the NHS
England and NHS Improvement’s Getting It Right First Time Cardiothoracic Review recommended
that acute aortic syndrome patients are only operated on by rotas of acute aortic
syndrome specialist teams. This is being actioned across cardiac and vascular teams.
The NHS England and NHS Improvement Specialised Cardiac Improvement Programme has
developed a guide and toolkit to support implementation with the first Region rolling
out from April 2020.</p><p> </p>
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