Introduction
The Bradford Acute Coronary Syndrome (BACS) study was set up after the introduction of 24-hour primary percutaneous coronary intervention (pPCI) service in a tertiary centre, the Leeds General Infirmary (LGI), approximately 15 miles away from the initial site of presentation. This paper reviews the process, the demographics and the challenges faced with the introduction of pPCI in a tertiary centre remote from our hospital, the Bradford Royal Infirmary (BRI). The BRI is an urban hospital serving a population of about half a million people, and our busy emergency department (ED) sees in excess of 110,000 new patients per year.