Cardiology - Belfast Health and Social Care Trust

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will not increase but this total volume through a single hospital, rather than splitacross multiple hospitals, can improve quality of care.Again, the single delivery teams in options two and three offer these potentialadvantages.Appropriate clinical linksPatients with cardiovascular disease often require treatment from a range ofspecialists. These specialists either work together to treat complex problems or morecommonly manage a patient with a range of organs affected by cardiovasculardisease. As part of Excellence and Choice, it is proposed that vascular serviceswould also be based at the Royal Hospitals while cardiac surgery is already based atthe Royal Hospitals. Bringing together tertiary cardiology, cardiac surgery andvascular services provides an opportunity for physicians, surgeons and radiologiststo provide optimal coordinated care for such patients in a „cardiovascular centre‟.Recent developments in less invasive techniques for managing cardiovasculardisease and the requirement for fast intervention in cardiovascular emergenciesfurther support bringing these services together.In addition, the Royal Hospitals is identified as the Trust‟s major trauma centre andtertiary cardiology services form part of the range of services that are required todeliver a comprehensive trauma service.Option three is the only option that can fully realise the development of acardiovascular centre.Access for patients and carersBoth the Belfast City Hospital and Royal Hospitals are accessible for public transportaccess and a bus service runs between these sites and the City Centre continuallyduring the day. Car parking availability is better at the Belfast City Hospital but workis ongoing to increase parking spaces at the Royal Hospitals site.All of the options provide access to a specialist tertiary cardiology team for bothplanned and emergency activity. Option three would enable patients to also accessthe cardiovascular centre which would bring the additional benefit of joined-up carewith vascular surgeons where appropriate.Option four would mean a change of service for patients of all hospitals and wouldrequire significant input from the Northern Ireland Ambulance Service.Compatibility with Trust strategic directionThe Royal Hospitals is identified as the major trauma and „heart centre‟ due to theappropriate clinical linkages with trauma, cardiac and vascular services. Thecombined multi-disciplinary teams from these specialties support the development ofa cardiovascular centre, incorporating the tertiary cardiology service, and this is mostfeasible at the Royal Hospitals.Page 20 of 30
Option three is best placed to realise this ambition.Preferred optionConsidering this, the Project team‟s recommendation is for option three – deliver allemergency and elective (planned) tertiary services at the Royal Hospitals thereforeforming part of a cardiovascular centre and providing tertiary cardiology access tothe Trust‟s major trauma centre.General cardiology services and outpatient services including assessment,diagnostic and treatment services required to support emergency and generalmedical and surgical departments would continue to be delivered from the BelfastCity Hospital, Mater Hospital and Royal Hospitals.Page 21 of 30
Page 4: We want to do all of this to ensure
Page 7 and 8: Table 1 - Tertiary Cardiology Servi
Page 9: Provide clear directions to service
Page 12 and 13: - Insertion of pacemakerPacemakers
Page 14 and 15: 3. Why reorganise cardiology servic
Page 16 and 17: Trauma servicesTrauma services deal
Page 18 and 19: Royal Hospitals as the centre for m
Page 22 and 23: 5. What would this mean for patient
Page 24 and 25: 6. WorkforceThe Trust would put in
Page 26 and 27: Appendix 1 - Programme of Consultat
Page 28 and 29: Appendix 2 - Equality and Human Rig
Page 30: Appendix 3 - GlossaryGlossary of ab

Cardiology - Belfast Health and Social Care Trust

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