Presentation from the Freeman Hospital on the organisation of care for ACS patients, focusing on models of delivering angiography +/- revascularisation within a 96 hour target. Proposed advantages of the hub model include offering a 24/7 service with immediate access and pacing on dedicated cardiology wards. Since the adoption of this model in 2008/09, the region has seen an increase in the availability of PCI to ACS patients. Median transfer time for inter-hospital referrals is 2 days, with 98.8% receiving angiography +/- PCI within 24 hours of admission to the PCI centre. Areas to focus on to improve efficiency include the same day discharge of NSTEMI patients following PCI (currently 1.2%), increase in the number of weekend lists and return of patients to the referring hospital if the procedure is performed radially.