British Heart Foundation

Countess of Chester Hospital NHS Foundation Trust


Information for healthcare staff / referring agencies

Referral to:

Community Heart Service/ GP extended hours Countess of Chester Hospital Liverpool Road Chester Cheshire CH2 1HJ


Conditions accepted (depending on severity)

Myocardial Infarction (MI)

Acute Coronary Syndrome (ACS)

Heart Bypass

Angioplasty

Heart failure

Yes

No

Yes

Yes

Yes

Valve Surgery

Implantable Cardioverter Defibrillator (ICD)

Angina

Other cardiac surgery

Pacemaker

Yes

Yes

No

Yes

Yes

Other information

> Myocardial infarction/heart attack (STEMI and NSTEMI)
> Cardiac revascularization: Balloon angioplasty with or without cardiac stents)
> Cardiac surgery (coronary artery bypass graft including heart valve surgery)
> Heart Valve surgery
> Heart failure (ischaemic and non-ischaemic) Ejection Fraction <40%
> Heart transplantation
> Complex devices such as Biventricular Pacemaker (CRT-P) and defibrillator (CRT-D)

All of the above who also have heart devices ICD (implantable cardioverter defibrillator or Pacemakers.

We receive referrals:

• As an inpatient at Countess of Chester Hospital following diagnosis of a heart attack

• From tertiary surgical centres, with patients who have had cardiac intervention / surgery (such as Liverpool Heart and Chest Hospital, The Royal, Wythenshawe Hospital) (coronary artery bypass grafts including valve surgery, primary angioplasty, angioplasty or stents, heart devices such as biventricular pacemakers and ICDs);

• Local/regional and national rehabilitation centres with confirmed diagnosis of heart attack/cardiac surgery or cardiac revascularisation (coronary artery bypass, primary angioplasty, angioplasty or stents); devices such as ICDs and Biventricular pacemakers

• From GPs who have confirmed a recent diagnosis of heart attack/cardiac surgery or cardiac revascularisation (same as above;
• From consultant cardiologists and heart failure specialist nurses who refer patients with new onset heart failure (left ventricular systolic dysfunction or a confirmed ejection fraction <40%);
• Self referral
From individuals, but will require recent confirmation from a medical practitioner of any of the above diagnoses.


Phases:

1
In hospital

2
Immediate post discharge period

3
Multidisciplinary rehabilitation period

4
Maintenance sessions / strategies

Yes

Yes

Yes

No

Audit Contact:

01244 365662
Community Heart Service/ GP extended hours Countess of Chester Hospital Liverpool Road Chester Cheshire CH2 1HJ



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