COS - flow Referral onto C&B Redirected onto COS with appropriate Test flagged Booking transferred to TOMCAT and invite letter generated Patient attends – Outpatient reception Consultation/ECHO or Stress test/Health Advisor Outcome letter sent to GP within 24hours Patient evaluation
Diagnosis and treatment without waiting follow up Staff from receptionist, nurse to consultant all very helpful All questions answered, friendly and helpful Superb to have tests and consultant together
Cardioversion Pathway Atrial Fibrillation Warfarin ECHO Rate Control Referral to Cardiologist Cardioversion Pre Assessment One Stop ECHO Warfarin Rate Control 18 weeks 2 weeks 16weeks ECG ECG
GP Referral One Stop Clinic TOE Angio Surgery Heart Murmur / Valve Pathway 2 weeks 2 weeks 4 weeks 14 weeks 18 weeks ECHO ECHO Breathlessness Clinic
Bradycardia 24- hour tape Referred to Cardiologist Pre assessment Procedure Referred to Glenfield Referred to Glenfield for TILT test 24- hour tape One Stop Clinic Pacemaker Implant 18weeks 2weeks 2weeks 4weeks ECG ECG
Angiography 2 weeks 2 weeks 18weeks 4 weeks 10 weeks GP Referral Pre Assessment RACP One Stop Clinic Outpatients ETT Angiography PCI Surgery
Thank you for seeing Mrs.. She presented complaining of feeling hot and was found to be in AF with a rate of about 100. She’s also found to have raised blood pressure of 190/110. She’s on Perindopril, Bendrofluazide and Atenolol. Her TSH returned at 3.04. She has normal heart sounds. I have arranged an ECHO and referred to the warfarin clinic. Her cholesterol on 14 th December was 4.4.
Thank you for seeing this 82 year old hypothyroid lady who has fast AF made worse by thyrotoxicosis. I would appreciate your assessment.