Cardiology

Under Review — this page was due to be reviewed by Monday, 12 July 2021. The information shown here may be outdated.

Advice and guidance is available and encouraged.


Echocardiography triage resource (British Society of Echocardiography)

Transthoracic echocardiography is an essential test in the evaluation of patients with suspected structural and functional cardiac conditions. When used appropriately it facilitates rapid diagnosis and timely intervention for patients. The British Society of Echocardiography has previously issued detailed guidance, aimed at hospital and specialist referrers, regarding the indications for, and optimal timing of, outpatient, inpatient, and critical care transthoracic echocardiography. 

However, the society also recognises that very often the most useful information in primary care is to know the clinical conditions in which transthoracic echocardiography is not routinely indicated at the time of initial clinical contact. These conditions are grouped by symptom or clinical finding in a primary care triaging poster for rapid reference by GPs for use in primary care settings. This guidance is not intended to override clinical judgment in individual cases and has chiefly been created to support situations where clinical judgement favours avoiding further investigation. 


Area specific guidance for Camden

In the last few years, Camden CCG has focused successfully on increasing our prevalence rates of heart failure with good outcomes. Following a review, the community clinics have been streamlined and all referrals should now be made to the Community Heart Failure Service due to the closure of the CICS Heart Failure Service.

Advice and guidance is available and encouraged.


Area specific guidance for Barnet

All cardiology advice and guidance queries must be submitted via eRS. Responses should be received within 3 working days.

Please ensure that you upload copies of all diagnostic reports, clinic letters etc, when submitting your Advice and Guidance query. Queries relating to ECGs, 24 hour tapes, Echos and BP monitoring results are particularly suitable for Advice and Guidance submission.


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Pathways View All

Pathway PDF, 471.98 KB

Atrial Fibrillation

Camden
Pathway PDF, 920.96 KB

Atrial Fibrillation Pathway

Enfield
Pathway PDF, 602.56 KB

Atrial Fibrillation Primary Care Protocol

Barnet
Pathway PDF, 311.77 KB

Cardiac Rehabilitation Pathway: NMUH

Haringey
Pathway PDF, 376.71 KB

Chest Pain

Camden
Pathway PDF, 609.11 KB

Chest Pain Primary Care Protocol

BarnetEnfield
Pathway PDF, 275.01 KB

Heart Failure Diagnosis and Assessment in Adults (Soft Launch)

NCL Wide
Pathway PDF, 1.39 MB

Heart Failure End of Life Care Planning

Camden
Pathway PDF, 202.61 KB

Heart Murmur

Camden
Pathway PDF, 343.81 KB

Heart Murmur Primary Care Protocol

Barnet
Pathway PDF, 1.26 MB

NHS Health Check Pathway

Haringey
Pathway PDF, 75.35 KB

Palpitations

Camden
Pathway PDF, 286.85 KB

Palpitations Primary Care Protocol

BarnetEnfield
Pathway PDF, 527.16 KB

Syncope Primary Care Protocol

Barnet
Pathway PDF, 511.61 KB

Transient Loss of Consciousness

Camden

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Enhanced Services View All

Anticoagulation Monitoring Level 1 LCS

To help practices register, call and recall patients and maintain communication across the system Islington

Anticoagulation Monitoring Level 4 LCS

To provide an integrated anticoagulation service across primary and secondary care for patients on vitamin K antagonist therapy Islington

Long Term Conditions LCS

In practice readiness from 1 April 2023, live across NCL from 1 October 2023 NCL Wide

NHS Health Check LCS

Public Health LCS aiming to invite eligible patients to an annual health check Islington

Primary Care Anticoagulation Initiation and Monitoring Service LCS

LCS aiming to improve health outcomes for patients requiring anticoagulation Haringey

Primary Care Long Atrial Fibrillation LCS

LCS aiming to identify patients who are at high risk of Atrial Fibrillation Haringey


Review date: Monday, 12 July 2021