CARDIOLOGY




GPwSI

Venue & Address
About the service/How to refer/Referral criteria
Tariff
Westcliffe Medical Centre
Address:
Westcliffe Medical Centre,
Westcliffe Road,
Shipley
BD18 3EE
Tel 01274 609699,
Fax (01274) 609687
Lead by:
Dr Matt Fay
Dr Andreas Wolff
About the Service:
  • This service is open to the whole of the Bradford & Airedale District Area
  • There is a pick and mix approach to the service, ranging from individual direct access investigations and interpretation through to a full package of care including GPwSI and Consultant intervention
  • The service offers a one-stop-shop approach for patients
  • The various tariffs are very competitive, offering value for money
  • You can access the full service via Choose and Book
  • You can also access the direct access investigations by fax or post
  • The service is fully accredited by Bradford and Airedale tPCT
How to Refer:
  • Use Westcliffe's cardiac referral form for everything
  • When referring to the Cardiology service at Westcliffe it is important that you give patients a UBRN number and info on how to contact us re an appointment. This applies to all the various packages we offer via C&B for Cardiology including the triage packages - I know for most other triage services you don't give the patient a UBRN but for ours you need to - many thanks. It just works the same as if referring to a secondary care service or none triage service.
Referral Criteria:
  • no kids ie <18y
  • General adult cardiology service for opinion and advice on all aspects of cardiac disease, to give direct clinical opinion or suggest the most appropriate pathway to proceed along in a signposting function.
  • Chest Pain excluding unstable rest pain, pain fulfilling the criteria of the Rapid Access Chest Pain Service
  • Anginal Pain excluding acute anginal symptoms, unstable angina, patient currently under interventational cardiologistShortness of breathexcluding clinically unstable patients, clear of non-cardiac cause
  • Palpitationsexcluding unstable patients (requiring urgent review)
  • Syncope (Blackout)excluding patients with know structural heart disease (aortic stenosis)
  • ‘Dizziness’excluding those associated with true vertigo (should see ENT initially)
  • Abnormal ECG, Abnormal 24hr Rhythm Monitors
  • Abnormal Heart Sounds, Cardiac Murmurs
  • Hypertensionexcluding malignant hypertensionm pregnancy related hypertension, associated with Acute Renal Failure, known to be due to endocrine causes
  • Hypotension


Cardiac Specialist Nurse
Address:
Heart Failure Nurse Specialist,
North Bradford area,
Ecclehill Clinic,
Rillington Mead,
BD10 0EH;
Office 01274 322187; Mobile 07932966686
Lead by:
Sharon Stockdale
About the Service:
  • Open to questions and advice about specific cases
  • Open to referrals for help with specific cases
How to Refer:
  • phone them
Referral Criteria:
  • nil specific









Specialised Outreach Clinics

Venue & Address
About the service/How to refer/Referral criteria
Tariff
Rapid Access Chest Pain Clinic
Address: Bradford Royal Infirmary
Lead by: Consultant Cardiologist
About the Service:
  • Not a diagnostic service but a risk stratification service
How to Refer:
  • Rapid Access Chest Pain Clinic at Bradford Royal Infirmary - now directly bookable through Choose and Book
  • This will now be the preferred method of referral for such patients. The service can be found by selecting the following criteria:- Specialty - Cardiology Priority - 2WW or Urgent Clinic Type - Rapid Access Chest Pain inc ECG.
  • Please Note the following:- The service can only be found on the Local Primary Care Menu.
  • Referrals need to be made on the Unified Cardiology Referral Form which can be accessed via a web link on the Directory of Service.
  • Appointments slots will be available during a restricted timeframe in order to ensure these patients are seen within the 2 week standard
Referral Criteria:
  • To reiterate: not a diagnostic service but a risk stratification service
  • Chest pain, recent onset - you have to think it is angina
  • If rest pain 24-48h, admit








Consultants

Consultant & Location
Special Interest
Tarrif
Dr Lindsay,
Bradford Royal Infirmary
Interventional cardiology (e.g. angios)

Dr Morley,
Bradford Royal Infirmary
Arrythmias

Dr Kurian,
Bradford Royal Infirmary
Interventional cardiology













Additional Notes

  1. Any patient with anginal chest pain at rest or palpitations/dysrhythmia causing cardiac decompensation (SOB, oedema) should be considered for acute admission.
  2. Any patient with anginal chest pain at rest or palpitations/dysrhythmia causing cardiac decompensation (SOB, oedema) where the clinician feels that admission is inappropriate but needs urgent review should either be discussed with a consultant cardiologist or cardiac GPwSI (Matt Fay @ Westcliffe 01274 580787) re urgent clinic appointment. The GPwSI service can help facilitate referral in to BTHT urgently if deemed necessary but this is left to the clinician's discretion.
  3. Any patient which the clinician feels needs to be in clinic soon should be referred to Cardiac Triage but also call Alison Keighley 01274 323561 so a 'soon' appointment can be made
  4. Any patient with anginal sounding chest pain of new onset should be referred to the Rapid Access Chest Pain Service (Fax 382371) irrespective of their ability to walk on a treadmill or resting ECG. Known or suspected aortic stenosis remains the only exclusion and should be referred to Cardiac Triage Service at Eccelshill (Fax 323216).
  5. Any patient with a return of angina sounding chest pain after intervention and previous discharge from the hospital services should be referred to Rapid Access Chest Pain Service (Fax 382371) ) irrespective of their ability to walk on a treadmill or resting ECG. Known or suspected aortic stenosis remains the only exclusion and should be referred to Cardiac Triage Service at Eccelshill (Fax 323216).
  6. Any patient with increasing angina should be referred to the Cardiac Triage Service at Eccleshill (Fax 323216) where there will be a maximum of 7 days before triage.
  7. Any patient who has previously seen a cardiologist but has now been discharged should be referred to Cardiac Triage Service at Eccelshill (Fax 323216)
  8. Any patient (clinician) who wishes to be seen by a specific consultant (i.e. has previously been seen by one of the cardiologists and wishes to see them again) should be referred to Cardiac Triage Service at Eccelshill (Fax 323216) but this should be made explicit in the form (you can click on a specific consultant). If this is sent directly to BTHT it will be redirected to Eccleshill and thus delay a patients review

The referrals to Cardiac Triage are seen within a maximum of 7 days (i.e. the referral comes in after one of the GPSIs have just left and thus will wait till the following week).We have in the past, and will continue to offer, the ability of a clinician to ask for a patient to be seen in the next clinic and will always strive to be able to do this. Any suggestions or comments are gratefully received, but could you copy in Beverley Slater (Beverley.slater@bradford.nhs.uk)