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Transcript of UC LPartne rs Wo ss utcomes for a un po · of people in ational Card D preventio o be done to e...
UC
Wo
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A p
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CLPa
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Cont
Content
Glossary
Executiv
1 Backgr
1.1 Im
1.2 Th
1.3 Lo
1.4 NH
1.5 Re
1.6 Re
1.7 Th
2 Addre
2.1
2.2
2.3
2.4
3 An inte
3.1
3.2
3.3
3.4
4 A new
4.1
4.2
5 Our cu
5.1
5.2
5.3
5.4
5.5
5.6
tents
ts ..................
y of terms ....
ve summary .
round – a ne
mproving out
he CVD Outco
ondon Mode
HS commissi
esponding to
easons why w
he populatio
ssing the nee
Years of life
Identifying
Better iden
Addressing
egrated app
Developing
Atrial fibrill
Heart failur
Patient exp
w model of ca
Cardiac sur
Cardiology .
urrent service
Providers o
Capacity ch
Patient exp
Future activ
Future wor
Lack of sub
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ew policy fram
comes from
omes Strateg
l of Care (20
oning and po
o the new CV
we need to c
n covered by
eds of our po
e lost due to
people with
ntification of
cardiovascu
roach to deli
g the Integrat
ation ...........
re.................
perience acro
are for specia
rgery ............
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es ................
of tertiary car
hallenges in c
perience .......
vity risks for
rkforce and s
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mework for
cardiovascu
gy (2013) .....
10) ..............
olicy ............
VD policy fram
change .........
y this propos
opulation ....
CVD in nort
undiagnose
high risk fam
ular risk in ou
ivering ‘who
ted Cardiova
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omes . 26
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Acces
6 The pr
6.1
6.2
6.3
UK ec
7 Our vis
7.1 Se
7.2
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7.6 Ad
7.7 In
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7.9 He
7.10 T
7.11 T
7.12 A
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8 Acad
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8.3 Th
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9 What t
10 What
Append
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52
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cases will sup
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nal Senior Nu
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nd educat
ed benefits o
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more experien
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next 40 years
remain one
curricula are
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or Jean McEw
North‐Centra
of a larger cen
and develop
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vation
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an opportunit
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of roles such
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red at scale,
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to deliver m
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re opportun
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t critical, car
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about the wi
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nity to treat s
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treatment o
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Institute and
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53
specialist
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others.
to train
and
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54
and
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David Fi
MD, UCL
3rd Floor
W1T 7H
7th Janua
Dear Da
We are
services
cardiac
heart d
interven
that you
These p
proposa
from clin
the UCL
coopera
concept
The key
proposa
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2.
tter of sup
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LPartners
r, 170 Totten
A
ary 2013
vid,
delighted to
across UCL
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isease). We
ntion and we
u would wish
roposals rep
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nicians in ea
LP ICVS to
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of integratio
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have the po
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provide som
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adult conge
publishers in
pport from
nham Court R
enclose a se
LP. These co
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present a sp
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on of Cardiov
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of unmet car
otential to p
nity to bring
most and to
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nical and acaular clinical a
me of the be
e highest lev
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enital heart
n the world 2
m C&E
Road
eries of prop
over virtually
cardiac imag
ose a letter
that similar
Cardiology w
ontaneous i
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ay forward
e believe tha
vascular serv
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united visio
a unique oppby UCLP is un
rdiovascular
rovide whol
g the best in
o ensure tha
condition.
ademic baseand academ
st times to t
els of appro
average car
disease. U
2006‐12, wit
posals for int
y the whole
ging, cardiac
setting ou
proposals a
work that has
nitiative fro
sly and witho
rvices taking
with collea
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vices within
best summ
on’. Howeve
portunity niquely varie
need. The t
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cardiovascu
t we offer b
e to build onic services w
treatment an
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re. We lead
UCL is in th
th QMUL at 1
egrated clini
e of the spe
c rhythm ma
t plans to
re in prepara
s been comp
m 83 clinica
out manager
the opportu
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sents very s
UCLP.
ed up (to bo
r, a number
ed in terms o
rusts within
whole pathwa
lar medicine
best value ca
within UCLP
nd outcomes
ce implantati
nationally in
he top ten
15th.
ical and acad
ectrum of C
nagement, a
develop a
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leted withou
l cardiovasc
rial support.
unity provide
s UCLP in
ignificant cli
orrow a phra
of key them
of ethnicity a
UCLP are un
ay cardiovas
e and researc
are for patien
are already
s for heart a
ion in the co
n inherited c
most produ
demic Cardio
Cardiology (i
and adult co
proposal in
rdiac surgery
ut delay.
cular speciali
This work h
ed by the cre
a collaborat
inical backin
ase from the
es emerge:
and deprivat
niquely struc
scular care. W
ch to the peo
nts across th
y very strong
attack patien
ountry. Hear
cardiac disea
uctive cardio
66
ovascular
inherited
ongenital
n cardiac
y but felt
sts. The
as arisen
eation of
tive and
g for the
e imaging
tion with
ctured to
We have
ople that
he entire
g. Units
nts in the
rt Failure
ases and
ovascular
3.
4.
We are
support
With be
Dr Clare
Division
Heart Ho
Huge potenAll the clin
services. Tog
publishers. O
the world, a
cardiac inte
benefits of c
Additional bSeveral grou
services ove
by service in
disease and
there are gr
of clinical an
committed
for Cardiova
st wishes,
e Dollery
al Director
ospital
tial benefitsical and ac
gether, UCLP
Our services
and the larg
ervention an
critical mass
benefits fromups point ou
er and above
ntegration. (
a centre for
reat opportu
nd academic
to working
ascular servic
from integrademic serv
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together wo
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nd electroph
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shared spac
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ce integratio
ration vice lines se
s would rank
ould be the
UK for cardio
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nts.
ation onal benefits
uired from cr
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enital heart d
nhanced rese
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t UCLP to t
on into a real
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largest adult
ovascular im
All this offer
s from co‐loc
reating a ‘vir
t Failure uni
disease). In a
earch and w
e campus.
urn the high
lity.
Dr Charles K
Cardiovascu
Barts Health
nt benefits
5 most produ
t congenital
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rs the oppo
calisation of
rtual’ UCLP c
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addition to c
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ular Group Di
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some cardio
cardiovascula
for inherited
clinical co‐loc
on from the
linical and a
irector
67
ration of
ovascular
se unit in
disease,
bring the
ovascular
ar centre
d cardiac
calisation
creation
academic
A3 Let
Dr AnneRegionaNHS EngSouthsidLondon Dr AndyRegionaNHS EngSouthsidLondon 16th Aug Dear Dr
We are College cardiovafacility a We are the besthigh prelevels ofmeet cucurrent expectat We knowwant to now andcentre treason ohow wean initia We are pathwaywe knowis beingcardiovaof NE an We fully
tter of sup
e Rainsberry al Director gland (Londode, 105 Victo SW1E 6QT
y Mitchell al Medical Digland (Londode, 105 Victo SW1E 6QT
gust 2013
Rainsberry a
writing as thHospitals anascular care at the St Bart
all very prout outcomes ievalence of f unmet neeurrent need fmedium‐siztions for sub
w we can dobe at the fod in the fututhat would bover the pase can deliver tive which h
planning a sys from the cw that we neg built at Stascular care nd NC Londo
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on Region) oria Street
irector on Region) oria Street
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ud of the achn terms of pcardiovascued, with carefor cardiovased specialistb‐specialisati
o better andorefront of rure. We curbecome pivost 12 monthworld‐class as been clin
system of incommunity seed to concet Bartholomwhich have n access to t
e Case for Ch
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hievements watient care alar disease ae often fragmscular care, ot units, theron, increase
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d‐class cardiaching and inthis opport
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re which wie most advaalist serviceswould enabover the last cialist cardio
rge you to su
l Leads
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wo cardiovasion in the copopulation ioss the regiocted increasirisk that wetiveness and
ovascular cannovation asunity to creaovascular innar cliniciansr care for thre to improve
ll see impronced heart ts at a state‐oble us to bufew years in
ovascular car
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diovascular Sar Case for London in a
scular units, ountry. Howein NE and Non, there is ng demandse won’t be a truly 24/7 c
are to the pes this will traate a joint anovation andhave come
he people ofe services.
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Services at UChange to inew state‐o
which haveever, there rNC London, aa lack of cas over time. Wable to meecare.
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livered acroTo do this efspital. Such he improvemhile giving thld.
68
University integrate of‐the art
some of emains a and high pacity to With our et future
don. We ient care d clinical For this o explore London,
ss whole ffectively a facility ments in e people
Dr CharlGroup D
ProfessoDirectorand NatBarts &
ProfessoConsulta
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Louise CDirectorCardiova
ProfessoCardioloTransfor
Dr Ben O
les Knight Director, Card
or Mark Caulr, William Haional InstitutThe London
or Bill McKenant Cardiolog
UCLP Progra
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or Anthony Mogy CD, Bartsrmation Lead
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diovascular C
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ch Instituteh Researchedicine and
or
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ealth
Dentistry
Dr Edward RClinical DireThe Heart H
Professor ArDirector, UCScience
Professor JoBHF Vander
Disease DireCardiovascuDirector, NaCardiovascu
Paul Fish Deputy ChieBoard, UCLH
Professor ChDirector of STransformat
Dr Martin Lo
Rowland ctor, Cardiovospital, UCL
roon HingoraCL Institute o
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Dr MarkDirectorTransfor
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or Richard Scr of CV Researmation Lead
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Dr Fiona WaConsultant CHead of MaService LeadTransformat
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Dr Simon WConsultant CHeart FailurHeart HospiTransformat
Cardiologist ospital, UCHtion Lead
alker Cardiologist,ternal Cardiod Grown Up tion Lead
oon Cardiologist rdiac MRI Setal, UCLH tion Lead
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and ElectropH, GOSH
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70
physiologist,
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Heart Disease
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