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Few acute hospitals in England have introduced standards that
meet the requirements of the national service framework for coronary
heart disease. Rhodes and colleagues (p 709) report shortfalls in
relation to the delivery of thrombolysis, and of auditing it, even in
hospitals that have introduced measures to reduce delays in treatment.
The scale of the deficiencies highlights the additional investment in
human resources and information technology that is required if the
standards for audit and delivery embodied in this and other national
service frameworks are to be achieved.