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.