1. 16 Jun 2010www.westhertscardiology.com1 Cardiology Connect Modern Cardiology at Watford for West Herts David Hackett Consultant Cardiologist at West Herts Hospitals NHS Trust 16 June 2010

2. 16 Jun 2010www.westhertscardiology.com2 WHHT invasive cardiology History: Mobile cath lab at St Albans –Elective angiography 1993 – 2004 Pacemaker implants at Hemel Hempstead –Main theatres 1993 – 2004 Fixed cath lab Hemel Hempstead Apr 2004 –Elective angiography & pacemakers April 2004 – –In-patient angiography & PCI June 2005 – –Primary PCI for STEMI – June 2006 –Day case elective PCI – December 2006

3. 16 Jun 2010www.westhertscardiology.com3 Major redevelopment of Watford Hospital for emergency care New AAU & model of acute care Fewer beds Cardiac CCU + Cardiac Ward Cath Labs 1  2 Delivering a Healthy Future (DAHF)

4. 16 Jun 2010www.westhertscardiology.com4 New AAU at Watford 120 beds for acute assessment / short stay New CT scanner New ultrasound machine New pharmacy Relocation of cardiac catheterisation laboratory service from Hemel Hempstead Two new cardiac catheterisation laboratories New cardiac ECHO, new cardiac treadmill W Herts centre for all devices

5. 16 Jun 2010www.westhertscardiology.com5 AAU at Watford

6. 16 Jun 2010www.westhertscardiology.com6 New AAU at Watford

7. 16 Jun 2010www.westhertscardiology.com7 New AAU at Watford

8. 16 Jun 2010www.westhertscardiology.com8 New WHHT Cath Labs

9. 16 Jun 2010www.westhertscardiology.com9 New WHHT Cath Labs

10. 16 Jun 2010www.westhertscardiology.com10 New WHHT Cath Labs

11. 16 Jun 2010www.westhertscardiology.com11 New WHHT Cath Labs

12. 16 Jun 2010www.westhertscardiology.com12 New WHHT Cath Labs

13. 16 Jun 2010www.westhertscardiology.com13 New WHHT Cath Labs

14. 16 Jun 2010www.westhertscardiology.com14 New WHHT Cath Labs

15. 16 Jun 2010www.westhertscardiology.com15 New WHHT Cath Labs

16. 16 Jun 2010www.westhertscardiology.com16 New AAU at Watford

17. 16 Jun 2010www.westhertscardiology.com17 WHHT cath lab activity

18. 16 Jun 2010www.westhertscardiology.com18 WHHT cath lab: PCI activity

19. 16 Jun 2010www.westhertscardiology.com19 Front end: Cardiology pts managed by cardiologists! Twice daily & week-end consultant cardiologist ward rounds & consults Acute cardiology pts seen/taken over <12h Procedures: Adequate cath lab capacity for in-patients Prompt referrals & treatments Discharges: Twice daily consultant ward rounds Modern cardiology in WHHT

20. 16 Jun 2010www.westhertscardiology.com20 New cardiology services 2009: All PCI procedures Complex devices (ICD, CRT) Electrophysiology (OPD, ablations) - AWN ECHO (3D, TOE, stress, contrast) Inherited cardiac diseases (AV) Cardiac surgery MDT & OP clinics New cardiology services in WHHT

21. 16 Jun 2010www.westhertscardiology.com21 West Herts Cardiologists Hemel Hempstead 1988- Watford General 2000- West Herts Cardiology 2009- John Bayliss 1988 David Hackett 1992 Masood Khan 2005 Michael van der Watt 2000 Will Wallis 2001 Amanda Varnava 2005 Roland Wenschel 2009 Philip Moore 2009 Roberto Casula 2000 Anthony Nathan 2009 Andrew Chukwuemeka 2007 Mohamed Amrani 2009

22. 16 Jun 2010www.westhertscardiology.com22 Cardiology Connect Modern Cardiology at Watford for West Herts David Hackett Consultant Cardiologist at West Herts Hospitals NHS Trust 16 June 2010