Dr. Patrick Owens:

The infrastructural set would be a second catheterisation lab, six to seven interventional cardiologists and an on-call registrar. At present, we have three interventional cardiologists and one catheterisation lab so there is a little bit of ground to make up. It may be possible to have a staged progress towards a 24-7 model. Like all of these things, it would take time to put in place. On the basis of the arguments that we have made about the volume requirement for a second catheterisation lab, were that to be met, then the minimum dataset for a non 24-7 primary PCI unit operating, for example, from 8 a.m. to 8 p.m., Monday to Sunday, would be four interventional cardiologists. There is a kind of stepping-stone process that could bring us, ultimately, to what the region needs.