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.


  • 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

Pathway updates


Cardiac surgery

Cardiac surgery triage model

Category Clinical description
EmergenciesNot on WL
InpatientsNot on WL
Cat 1Symptomatic 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 2NYHA 3
Symptomatic severe aortic stenosis
Aortic aneurysm 5.5-6.0 cm
Left main stem stenosis 50 – 80%
Cat 3Critical coronary disease as determined by the surgeon
Cat 4Everything else


  • Services have resumed as usual

Shared resources