London Cardiovascular Project

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Cardiac surgery

The London Cardiovascular Project aims to improve treatment, care and outcomes for all patients with cardiovascular disease in the capital. The project has three main areas of focus: Cardiac surgery, Cardiology, and Vascular services.

The Cardiac surgery model of care includes emergency and elective interventional cardiology procedures. It is divided into three components:


The aims of the Cardiac surgery model of care are to:

  • Develop a non elective cardiac surgery pathway that manages patients according to risk and using an electronic referral system
  • Ensure that mitral valve surgery is undertaken by specialist surgical teams which meet specified standards
  • Ensure there is a provider network to manage acute aortic dissection with on-call sites
  • Roll out future cardiac technologies

The UK has some of the best outcomes following cardiac surgery in the world. Nonetheless, opportunities still exist to improve current services in the capital. Evidence suggests that clinical outcomes can be improved and delays for surgery and length of stay following surgery can be reduced.

The cardiac surgery community in London will need to work together to address issues around new technologies, research and workforce.

Over 24,000 people had cardiac surgery in London between 2004 and 2007.

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The London Cardiovascular and Stroke Networks have developed IHT user guides for receiving and referring hospitals.

Guide for receiving hospitals

Guide for referring hospitals

E-learning guides for IHT users will be published soon.

Download the Cardiac Surgery Service Specification - Contains baseline data, quality standards and implementation timeframes

Project documents

Model of care (summary)
Model of care (detailed)
Patient perspective
Responses to engagement
Case for change
Co-dependencies framework
Financial analysis

More on the
patient perspective