Please see the below information for South London and pan London regions in response to the coronavirus (COVID-19) outbreak. For archived information, please see the COVID-19 archive page.
Although system changes have been made to support the response to COVID-19, we maintain capacity to deliver treatment for urgent and emergency cardiology and cardiac surgery patients. All three trusts — Guy’s and St Thomas’, King’s College Hospital, and St George’s University Hospitals NHS Foundation Trusts — are working together to treat patients safely and efficiently.
Please refer urgent and emergency patients as normal to your linked tertiary centre. Patients should be referred in the usual fashion, via Teleologic, the inter-hospital transfer system.
MDTs
- South London MDTs (open to all clinicians) – Daily multidisciplinary meetings have been established for cardiac and cardiology referrals across the region (south London, Kent, Surrey, Sussex)
Data and information
- Inter hospital transfers weekly report for cardiology, angio/PCI, cardiac surgery – (19 Apr 2022)
- Dynamic IHT dashboard (password required)
- Archive of IHT weekly reports
Pathway updates
Cardiology
- South London ACS patients referral and treatment (STEMI and NSTEMI)
- Pan London emergency arrhythmia services(3 Apr)
Cardiac surgery
- Resuming services – Inter hospital transfers, aortic dissection referrals, and virtual MDTs (17 Jul 2020)
- Acute aortic dissection on-call rota (Jan – Dec 2021)
Cardiac surgery triage model
Category | Clinical description |
---|---|
Emergencies | Not on WL |
Inpatients | Not on WL |
Cat 1 | Symptomatic critical aortic stenosis (AVA<0.7) |
Left main stem stenosis >80% | |
Left atrial myxoma | |
Aneurysms >6cm or expanding at a rate of 0.5cm/year | |
Class IV symptoms | |
Cat 2 | NYHA 3 |
CCS 3 | |
Symptomatic severe aortic stenosis | |
Aortic aneurysm 5.5-6.0 cm | |
Left main stem stenosis 50 – 80% | |
Cat 3 | Critical coronary disease as determined by the surgeon |
Cat 4 | Everything else |
Vascular
- Services have resumed as usual
Shared resources
- Cath lab SOP – Repository of action cards, guidance, and templates
- Using Microsoft Teams for MDTs (how to guide)
- Example web content for patients (includes commonly asked questions)
- London Clinical Networks – Pan London cardiology framework (13 Jul 2020)