South London Cardiovascular Networks
The cardiovascular programme for south London consists of four main business units:
- South London Cardiac Operational Delivery Network (ODN)
- King’s Health Partners Cardiovascular (formerly known as the Institute and Network)
- South East London Vascular Network, including Kent
- South West London Vascular Network, including Surrey and Sussex
South London Cardiac Operational Delivery Network
A specialised service review by NHS England in 2016 found that opportunities exist to optimise existing cardiac pathways for a single, cohesive approach for south London. The South London Cardiac ODN was established in 2018 to address this redesign work:
- Patient experience, to resdesign services that, where possible, support patient led care;
- Quality, to provide optimal, safe quality services in line with best practice standards and recommendations; and
- Value for money, to bridge the gap between the rate of growth in service funding allocated and spend.
SOUTH East and South West Vascular Networks
The vascular networks were established in 2018 in response to the Vascular Society recommendations within the London Cardiovascular Model of Care (2010). These proposed that vascular services should be provided within an effective, comprehensive network system, with a central unit providing elective and emergency arterial vascular surgery, linked with local units providing the majority of services, including day surgery, varicose vein, amputations and selected limb interventions.
Key workstreams: Pathway redesign and service improvement; standardisation and protocols; clinical provision, capacity and management; data collection, analysis, and submission; workforce and education; and tariff unbundling.
South east London: Guy’s and St Thomas’ is the arterial centre, with the hub site at St Thomas’, plus eight hospitals in the network: Guy’s, King’s College, University Hospital Lewisham, Queen Elizabeth Sidcup, Darent Valley, Princess Royal University and Tunbridge Wells.
South west London: St George’s Hospital is the arterial hub, plus six hospitals in the network: Epsom, St Helier, Croydon, Kingston, Queen Mary’s, and East Surrey.
King’s Health Partners Cardiovascular
King’s Health Partners Cardiovascular integrates the School of Cardiovascular Medicine & Sciences of King’s College London and the adult cardiology,
cardiac surgery and vascular surgery units at Guy’s and St Thomas’ and King’s College Hospital NHS Foundation Trusts.
King’s Health Partners Cardiovascular aims to build upon our individual strengths to bring together our clinicians and academics across clinical practice,
research and education to combine their expertise and create a world-class Cardiovascular Institute and Network that will achieve better outcomes for our patients and service users.
Clinical operational integration is a vital step to our longer term vision. Thus, we are making strides towards working as a cohesive clinical team, providing a single cardiovascular service, across two sites (Guy’s and St Thomas’ and King’s College Hospital). In practice, this means that in the future:
- Patients can be treated anywhere across the partnership and receive seamless care King’s Health Partners Cardiovascular
- Staff will be able to work across both sites with ease
- There will be an aligned management structure, including operational priorities and joint decision making
- Key pathways, policies and processes (clinical and administrative) will be aligned
Key workstreams: Cardiac surgery; coronary intervention; CT/PET; echocardiogram, EP, heart failure, MRI, valve disease, vascular surgery, and
Cross cutting workstreams: Inter hospital transfers, strengthening multidisciplinary team working, Mind & Body, and workforce.
Areas covered: South east London and Kent