In December 2000 two whole time equivalent G grade acute chest pain nurse specialists (ACPNS) were employed by the Diana, Princess of Wales Hospital, Grimsby as a strategy for reducing the time elapsed between arrival at hospital of a patient with STEMI and the administration of thrombolysis; the so called “door to needle time”. Both nurses have wide ranging coronary care experience and have held specialist cardiac posts in the past. The ACPNS service is based in A&E and is available for 62.5 hours/week. Outside of these hours the hospital reverts to a “fast track” system, with rapid transfer of patients to the coronary care unit for thrombolysis by the on call medical team.