1. Joining Up Primary Care Welsh Cardiac Network Conference
Setting the Scene- A primary Care Perspective
Jane Fenton-May
Vice Chair RCGP Wales

2. GP concerns Varied access to services and not same in all LHBs
Network has opportunity to improve and standardise pathways

3. Discharge letters
Clarity of both out patient and inpatient letters needs improvement
Letter needs to get to GP at same time or before patient attends surgery with queries
Actions for GP to be highlighted
Ensure it is clear when or why patient should be reviewed by secondary care

4. Drugs Medication changes to be highlighted
Check medication patient currently taken- some times may have been or not been changed since last clinic appt.
Shared care protocol- Ensure if medication is on a shared care protocol that the pathway is followed and that the GP consents to accept patient for shared care
Use of local formulary drugs- ensure if there is deviation then reasons explicit

5. Nurse Run Cardiac Clinic
Delays in getting letters
Patients sent to GP as non prescribing nurses but delays in getting med changes
Blood results should be on hospital forms and go to requesting clinician, not GP

6. Patients on waiting lists for Cardiac Procedures
Patients are often terrified while waiting
Explicit information for patient and GP when they should be reviewed or readmitted
When or if to modify anti failure drugs
Clarify advice on activity while awaiting valve replacement

7. Show respect to your colleagues across teams
Ensure comprehensive, clear and legible handover to colleagues
Give clear guidance to patient on what to do and what to expect
Do not handover incomplete tasks where possible
Remember Your test, your responsibility
Ensure the patient and you know who is taking over patient care when handing over and that that individual has agreed to take responsibility
Respond promptly to colleagues who need information
Ensure all relevant clinicians are informed of significant changes in tests or treatment treatmenthttp://interface.amrcw.org.uk/read-online/

8. Varied primary care access
Echocardiographs
Clarify best practice
Varied primary care access
Too many?
Too expensive?
Lack of scanners?

9. Clarification of when GP should treat or refer or not?
Paroxysmal AF
Clarification of when GP should treat or refer or not?

10. Life limiting conditions
Improve communication with patients from secondary care re potential prognosis
Improve this communication with GPs so they can support palliative care
Work being done to improve communication between primary and secondary care around life limiting conditions by Academy of Royal Medical Colleges in Wales

11. Questions for cardiology
When/ why should we write back to you?

12. Thank you Any questions jfm@fenton-may.org

13. Show respect to your colleagues across teams
Ensure comprehensive, clear and legible handover to colleagues
Give clear guidance to patient on what to do and what to expect
Do not handover incomplete tasks where possible
Remember Your test, your responsibility
Ensure the patient and you know who is taking over patient care when handing over and that that individual has agreed to take responsibility
Respond promptly to colleagues who need information
Ensure all relevant clinicians are informed of significant changes in tests or treatment treatmenthttp://interface.amrcw.org.uk/read-online/