The work of the Yorkshire and the Humber Cardiac Network, as supported by the Clinical Networks, has now come to a close and these webpages will no longer be updated.
Cardiac Pathways Review
The Yorkshire & Humber Cardiac Clinical Expert Group (CEG) has identified that a comprehensive review of cardiology pathways is required in order to improve the quality and efficiency of service provision for patients. The South Yorkshire & Bassetlaw ‘Working Together’ programme has undertaken a piece of work utilising clinically agreed core commissioning standards to determine where services are not compliant with current NICE guidelines and/or quality standards and how this may be better achieved. These standards have been adopted and are currently being refined by the Cardiac CEG to cover a broader scope including;
- Heart Failure (HF) – to include both acute and chronic.
- Ischaemic Heart Disease (IHD) – including ST-segment Elevation Myocardial Infarction STEMI, Non ST-segment Elevation Myocardial Infarction (NSTEMI), Acute Coronary Syndromes (ACS) and stable angina.
- Arrhythmia – including Atrial Fibrillation (AF) & AF Ablation, complex devices (Cardiac Resynchronisation Therapy (CRT) and Implantable Cardioverter Defibrillators (ICD)) and electrophysiology.
- Cardio-thoracic (CT) Surgery – Coronary Artery Bypass Graft (CABG) - acute and elective, valvular services including surgery and Transcatheter-Aortic Valve Implantation (TAVI).
- Other coronary conditions.
- Commissioning through evaluation.
The pathway review work will not include inherited cardiac conditions or adult/paediatric congenital cardiology.
The Pathways Review will deliver the following outputs:
- A Comprehensive set of Quality Standards for the areas covered by the review. This will allow mapping of cardiology services to produce a detailed understanding of current provision and adherence to evidence-based pathways of care and opportunities for QIPP particularly in relation to specialised cardiac services.
- Stakeholder Development. Building on the existing South Yorkshire & Bassetlaw (SYB) ‘Working Together Programme’ and extending this across Yorkshire & the Humber to capture stakeholder views to;
Understand aspirations regarding cardiac services.
Work with providers to understand the full potential of their service.
Understand any issues caused as a result of split commissioning arrangements.
Work with primary care to identify opportunities to negate the requirement for acute hospital admission.