We're one of the country’s leading specialist cardiac centres, offering state-of-the-art treatments for the full range of heart conditions.
We serve our local communities across London and Essex, but also treat people from the rest of the UK. Our patients come first and we provide the highest standards of care in truly world-class facilities.
Our multi-disciplinary teams aim to give you the best possible care, in comfortable surroundings, with access to the very latest investigations and treatments. You'll be in good hands - our survival rates are well above the national average.
At Barts Health NHS Trust, we provide cardiovascular services from:
- Barts Heart Centre at St Bartholomew's Hospital
- Newham University Hospital
- The Royal London Hospital
- Whipps Cross University Hospital
Grown-up congenital heart disease
We provide seamless care between childhood and adulthood for those born with heart disease, via a well-established transition program with Great Ormond St Hospital.
We provide all aspects of care for adults with congenital heart disease, and our servuce has been given level one specialist centre designation by NHS England to continue providing surgical and catheter intervention treatments.
We have written guidance for our GUCH patients, which you can read here.
The GUCH service offers all aspects of specialist care for adults with congenital heart disease including;
- Heart surgery
- Catheter diagnosis and treatment – “keyhole valve procedures”
- Heart rhythm services, including ablation treatments
- Pulmonary hypertension service and advanced drug therapy
- Inherited aortopathy service with monitoring and surgery
- Pregnancy and pre-conception service
- Heart failure service with heart transplant referral pathways
- Specialist advanced imaging
- Outreach outpatients services at Basildon Cardiothoracic centre, Penbury Hospital Tunbridge Wells, Queen Alexandra Hospital Portsmouth, University College London Hospital, Luton and Dunstable University Hospital.
When attending your outpatient appointment, you will be seen by a consultant on most occasions, but sometimes by a clinical fellow in training who will discuss any management plan with the supervising consultant.
Most often, an echocardiogram is performed on the day, but if you live near the hospital you may be called for the echo prior.
A specialist nurse is present in all clinics and they will be there to help you understand your heart condition and or answer any queries you might have after you’ve seen the doctor.
If you require admission, you will reviewed and admitted under the on-call GUCH consultant cardiologist and seen daily by one of the GUCH team.
How to contact us
The GUCH Clinical Nurse Specialist (CNS) team act as your first point of contact when accessing help from the service. You will meet a member of the CNS team when you come to your first appointment.
If you have any questions about living with your heart condition or about any symptoms please do not hesitate to contact us on the numbers that are listed below. Your call will usually be directed to an answerphone. Please leave a message with your phone number and if possible your hospital or NHS number; we will then call you back.
If you have specific questions regarding appointments please ring your consultant’s secretary on the numbers listed below.
Clinical Nurse Specialist Team (Mon-Friday, 9am-5pm)
Call 020 3765 8608. Please leave a message on the answer machine and you will be called back within 24 hrs (during office hours)
Urgent contact for healthcare professionals and/or admitted patients
Call 07776181469 or email GUCH CNS: firstname.lastname@example.org
Dr Kate Von Klemperer and Dr Amit Bhan
0203 765 8755
Dr Fiona Walker
0203 765 8754
Dr Seamus Cullen and Dr. Victoria Kelly, GUCH clinical psychologists
0203 765 8899
Dr Bejal Pandya and Dr Michael Quail
0203 765 8765
Dr Filip Zemrak, Dr Vivienne Ezzat and Dr Vinit Sawhney
0203 765 8661
Professor Victor Tsang, Mr Ben Davies (GUCH surgeons)
0207 377 7000 ext 10558
Diagnostic bookings (echo, holter monitor, blood pressure monitor, CPEX, ETT): Hasna Begum, 02037658761
Clinic 5 reception: Flora Mariano, 020 3765 4173
Out of hours emergency only: after 1700 and at weekends
- Contact St Bartholomew's Switchboard 020 3416 5000
- Ask for General Cardiology SPR on-call. Explain the problem, provide call back contact information and give your NHS number.
- A Cardiology SPR will contact GUCH consultant on-call and you will be called back within 60 minutes.
Professor Victor Tsang
Professor Victor Tsang qualified from Westminster Medical School University of London, he began his cardiothoracic surgical training with Mr Christopher Lincoln at the Royal Brompton and London Chest Hospitals.
For two years, he was a Lecturer and Research Fellow at the National Heart and Lung Institute under Professor Sir Magdi Yacoub. He continued his paediatric cardiac surgical training with Dr Roger Mee at the Royal Melbourne Children's Hospital in Australia. His first consultancy post was at Southampton University Hospital. Professor Tsang has been working in the Cardiothoracic Unit at Great Ormond Street Hospital since 1997, specialising in neonatal and complex infant cardiac surgery. He leads the surgical program for adult congenital heart surgery at the Bart's Heart Centre in the City of London. Professor Tsang has been an honorary surgeon in Sweden, Denmark, Germany, Beijing and Hong Kong, and a visiting professor at several major cardiac institutions. He leads charity missions with Chain of Hope (UK) in the Caribbean and Ethiopia.
Mr Ben Davies
Mr Ben Davies graduated from the University of Nottingham in 2001. His early surgical training took place in Nottingham and Sheffield and in 2005 he became a Member of the Royal College of Surgeons of England. He then completed a PhD after completing a period of research at the Royal Children's Hospital and Murdoch Children's Research Institute in Melbourne, Australia. His higher surgical training in cardiothoracic surgery was carried out in the West Midlands including paediatric cardiac surgical fellowships at Birmingham Children's Hospital and Great Ormond Street Hospital for Children. In 2011 he passed the speciality examination in cardiothoracic surgery FRCS(C-Th), in doing so winning the McCormack medal.
He was appointed as a consultant in paediatric cardiac surgery at Great Ormond Street Hospital for Children in 2014 and honorary consultant cardiac surgeon at St Bartholomew's Hospital in 2015.
- Cardiac rehabilitation
- Coronary angiography
- Coronary angioplasty
- Clinics (including heart failure clinic)
- Device therapy (electrophysiology)
- Heart attack services
- Heart rhythm treatments
- Transcatheter aortic valve replacement (TAVI)
- Treatments for heart muscle diseases
We are one of the leading advanced cardiac imaging centres in the country. Our imaging department contains the very latest diagnostic equipment including:
- Cardiovascular magnetic resonance (CMR)
- Cardiac computed tomography (CT)
- Myocardial perfusion scintigraphy (MPS)
This technology helps our clinicians make accurate diagnoses and surgical plans.
We also provide physical measurement investigations such as ECGs (electrocardiograms), echocardiograms, exercise tolerance tests, seven day event recorders, 24 hour blood pressure monitoring and 24 hour tape monitoring.
We use all these techniques to aid diagnosis and monitor the treatment of conditions including ischaemic heart disease, arrhythmias, heart failure, hypertension, valvular heart disease and heart muscle disease.
Cardiac rehabilitation is a programme of exercise and education that will help you get back to everyday life as quickly as possible. The aim is to provide support and information that will reduce the risk of further heart problems in the future. It will help you regain confidence and plan a healthy lifestyle.
Our team includes specialist nurses and other professionals such as physiotherapists, exercise physiologists, dieticians, pharmacists and a clinical psychologist. We offer a choice of programmes that include education sessions, relaxation and physical exercise.
This is a minimally invasive diagnostic procedure that accesses the coronary arteries from the radial (wrist) and femoral (groin) artery using a catheter to look at the coronary arteries (blood vessels supplying the muscle of the heart)
Angioplasty is a technique that’s an extension of coronary angiography and used to treat narrowing of the arteries. This is achieved by inflating a tiny balloon and inserting a supporting stent to stop the artery from narrowing and becoming blocked.
We run a range of cardiology clinics for patients across all our sites. Some clinics help people with specialist conditions, while others are designed to encourage independence and help with rehabilitation following treatment.
We run specialist clinics to help patients with heart failure. This condition occurs when the heart muscle isn’t able to pump as efficiently as it should and can cause tiredness, breathlessness and fluid overload. Our heart failure clinics are run by specialist nurses, pharmacists and consultants with an interest in heart failure. The aim is to help patients self-manage their condition through lifestyle advice and support.
You will need to talk to your GP or hospital doctor if you would like a referral.
Our electrophysiology experts are skilled at assessing and treating electrical conduction diseases of the heart. There are now very effective therapies that can protect the heart, usually in the form of a pacemaker or implantable cardioverter defibrillator. We also implant biventricular devices to help improve the symptoms of heart failure. A total of around 1100 devices a year are implanted at St Bartholomew’s Hospital. In addition we also implant left atrial occlusion devices which help to reduce the risk of stroke in people with atrial fibrillation (AF) who cannot take blood thinning drugs.
A heart attack is a serious event and receiving specialist treatment as soon as possible greatly improves survival and recovery. The Heart Attack Centre provides dedicated emergency care 24 hours a day, seven days a week providing rapid access to a team with the specialist expertise and equipment required to treat someone who has had a heart attack, in a state-of-the-art hospital.
Ambulance crews are trained to recognise the signs of a heart attack and to bring the patient directly to the Heart Attack Centre instead of an emergency department. This may mean that ambulance crews bypass hospitals that might be nearer, but this is to ensure the correct treatment is available as quickly as possible.
We are the only centre in the country to provide 24/7 emergency heart rhythm treatments including permanent pacemaker implantation and catheter ablation for life threatening problems like ventricular tachycardia. We also offer pioneering treatments for patients with irregular heart rhythms.
Most patients can undergo non-surgical correction with state-of-the-art cardiac mapping systems. Our team pioneered the catheter ablation procedure to treat atrial fibrillation (the most common abnormal heart rhythm) and we now perform around 400 every year.
Aortic stenosis is a condition where the main outlet valve of the heart – ‘the aortic valve’ – becomes thickened and stiffened, preventing normal opening and causing breathlessness and heart failure. At present this condition is generally treated with conventional aortic valve replacement (open heart) surgery. TAVI allows replacement of the valve with a keyhole procedure and this is particularly useful in more elderly and frail patients.
The prosthetic valve is approximately 2cm in height and 2.5cm in width and is made of bovine pericardium (for the valve leaflets) and cobalt chromium (for the supporting stent scaffold).
We have been successfully performing this procedure since 2008, and have established research projects comparing the clinical and quality of life benefits of conventional aortic valve surgery and TAVI.
Diseases that affect the muscle of the heart can be caused by inherited (genetic) or acquired (infection) causes. Within the heart muscle unit we have a team of specialist consultants using state-of-the-art imaging to diagnose and treat these conditions. We offer a wide range of therapies ranging from medical (tablets) to intervention, including surgery. We are one of the leading sites offering alcohol septal ablation (a minimally invasive treatment for patients with hypertrophic cardiomyopathy) and attract patients from across the UK.
As the central ‘hub’ hospital, we provide vascular services to the ‘spoke’ hospitals of Homerton University Hospital, Newham University Hospital and Whipps Cross University Hospital. We offer consultant-led outpatient services within the ‘spoke’ hospitals, so that patients can be assessed locally. If they need specialist diagnostic investigations, and vascular intervention, they can be seen at the Vascular Unit at the Royal London Hospital. This is a 24 hour a day, consultant-led service.
We provide a comprehensive range of vascular procedures and services, including treatments for the following conditions:
- Abdominal aortic aneurysms
- Carotid artery disease
- Diabetic foot management
- Occlusive disease of visceral arteries
- Peripheral aneurysms
- Peripheral arterial disease
- Thoracic aortic disease
- Thoracic outlet syndrome
- Vascular malformations
- Vascular trauma
- Vasospastic disorders
- Venous disease
- Abdominal aortic aneurysm surgery
- Abdominal aortic aneurysm endovascular stenting (EVAR)
- Management of complex aortic aneurysms
- Abdominal aortic aneurysm NHS Screening Programme
- Specialist care for acute stoke patients in the Brain Attack Centre (LINK)
- Carotid endarterectomy (a surgical procedure to correct narrowing of the artery)
- Multidisciplinary diabetic foot ward rounds for inpatients
- Podiatrist-led outpatient clinics and ward rounds
- Surgery and endovascular intervention for diabetic complications
- Thorascopic sympathectomy for hyperhydrosis
- Endovascular and surgical management of visceral atherosclerosis
- Endovascular and surgical management of peripheral aneurysms
- Management of intermittent claudication (discomfort in the legs) through nurse-run specialist clinics and supervised exercise programmes
- Treatment of acute and chronic limb ischaemia (restricted blood supply to tissues) with limb revascularisation (treatments to improve the blood supply) using bypass surgery, endovascular angioplasty and stenting
- Thoracic aneurysm stenting
- Management of acute aortic syndrome (intramural haematoma, penetrating ulcer, acute and chronic aortic dissection)
- Treatment for traumatic aortic injury
- Management of thoracic outlet syndrome to relieve symptoms associated with the compression of arteries, veins or nerves
- Specialist diagnostics provided by vascular interventional radiologists
- Endovascular embolisation and surgery for vascular malformations
- Endovascular and surgical management of vascular trauma as part of The Royal London Hospital’s Trauma Centre
- Specialist investigation in the Ernest Cooke Microvascular Unit at St Bartholomew’s Hospital
- Management of Raynaud’s syndrome and vasospastic disorders
- Varicose vein surgery
- Endovenous varicose vein laser therapy (EVLT)
- Management of venous thromboembolism.
To refer a patient to the cardiac service please use the eRS system.
Patients with emergency medical problems who require a short stay in hospital are referred to our acute medicine services via their GP or the local emergency department at Newham, The Royal London and Whipps Cross.
Urgent cardiology inpatient referrals can be made via the online NHS network referrals system or through the on-call cardiology registrars at Barts Heart Centre at St Bartholomew’s Hospital on 020 3416 5000.
Please note, there are teams on call 24-7 for both ischaemic (heart attacks etc) and heart rhythm problems. TThe switchboard can help direct you to the correct team.
Urgent surgical inpatient referrals can be made using the online NHS network referrals system or via the on-call cardiothoracic surgery registrar at Barts Heart Centre.
- Barts Heart Centre clinics and referrals
- Newham Hospital clinics and referrals
- The London Chest Hospital clinics and referrals (transferred to Barts Heart Centre and The Royal London)
- The Royal London clinics and referrals
- Whipps Cross Hospital clinics and referrals
- University College Hospital clinics
Contact information regarding referrals and clinics can be found below.
All other contact details can be found on the Barts Heart Centre pages here.
- Cardiac Surgery Clinics
- Cardiac Surgery Pre-assessment Clinics
- General Cardiology
Advanced Heart Failure clinic - comprehensive care for patients with heart failure. Referrals for patients are taken at any stage from pre-diagnosis onwards. Following service transfer on 1 May, for further assistance contact Hayley Potton at Hayley.Potton@bartshealth.nhs.uk or 020 3765 8638.
Grown-up Congenital Heart disease (GUCH) clinic - The GUCH unit cares for patients who are born with a heart defect, often requiring surgery shortly after birth. The unit also treats patients who have acquired similar conditions, for example patients who have had heart infections which have led to a deterioration of the heart structure. A wide range of inpatient and outpatient procedures are provided from diagnostic testing through to highly complex heart surgery. Additionally, outreach clinics are run from Portsmouth and Basildon, which allow patients to be followed-up nearer to their homes following their initial appointment in London. Following service transfer on 1 May, for further assistance contact Rita Inweregbu at Rita.Inweregbu@bartshealth.nhs.uk or 020 3765 8605.
Inherited Arrhythmia Service – We see patients where a relative has died suddenly and the deceased had a normal heart on post mortem (Sudden Arrhythmic Death Syndrome). We also see patients, and relatives of them, with long QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia (CPVT), short QT syndrome and idiopathic ventricular fibrillation (cardiac arrest survivors with no-known cause). If you have any questions please contact the Inherited Arrhythmia Nurses on 0203 76 58644.
Rapid Access Chest Pain clinic - This is a nurse led service which provides quick access and early assessment to patients with new onset of chest pain, thought likely to be caused by coronary heart disease/ stable angina. We aim to see all patients within two weeks of referral. The service is run by cardiology clinical nurse specialists (CNS) who practice at advanced level. Patients are assessed using advanced assessment skills, a full patient history will be taken, patient’s cardiac risk factors are assessed and health education is provided. The CNS will initiate further investigation / treatment or discharge back to the GP’s care with reassurance. The clinics work in-line with relevant NICE guidance.
The RACPC is run by three teams across four sites in the Trust: St Bartholomew’s Hospital, Royal London Hospital, Whipps Cross Hospital and Newham.
Inclusion Criteria: New onset of chest pain, likely angina, Male >30yrs, Female >35 yrs.
Exclusion Criteria: Treated within Cardiology in the last 6 months (refer back to original cardiologist), unstable angina/ suspected MI (refer to A&E), suspected arrhythmias (refer to arrhythmia clinic), suspected heart failure (refer to heart failure clinic) Send relevant referral form to:
St Bartholomew’s Hospital / Royal London Hospital: email email@example.com
Whipps Cross Hospital: Fax 0208 535 6743
Newham Hospital: email firstname.lastname@example.org
Accident and Emergency pathway This is a nurse led service providing a quick follow up for patients who have presented to A&E at Royal London Hospital or Whipps Cross Hospital with chest pain, likely to be caused by coronary heart disease/ angina, who have had no ischaemic ECG changes or cardiac enzyme rises. This allows patients to be safely discharged from A&E with timely follow up. We aim to see all LRCPC patients within two weeks of referral. These patients are seen and assessed in the same way as RACPC.
This service is only run at Royal London, St Bartholomew’s and Whipps Cross Hospital. All referrals are made via A&E.
Follow up Clinic
Nurse led follow up clinics provide a follow up / results reporting service. This service is only run at St Bartholomew’s and Royal London Hospitals only. Whipps Cross and Newham Hospitals provide a telephone and letter follow up service. Follow up with a consultant cardiologist will be arranged where necessary.
St Bartholomew’s and Royal London Hospital: Gemma Robson (CNS) & Annie Hughes (CNS) Kumud Patel (Clinic Administrator) Tel: 0203 594 6049 (ex 46049) email: email@example.com
Whipps Cross Hospital: Aiden Taylor (CNS) & Vishal Bulluck (CNS), Hasna Begum (Clinic Administrator) Tel: 0208 539 5522 (ex 5337) Fax: 0208 535 6743
Newham Hospital: Jarilyn Umali (CNS) & Karuna Jhuree (CNS) Patricia Ogundere (Clinic Administrator) Tel: 0207 363 8039/0207 363 8115 email: firstname.lastname@example.org
Judith Colley (lead nurse) email: email@example.com
Heart Attack Centre at Barts Heart Centre
All our patients will be invited for follow-up appointments at the Heart Attack Centre (HAC). A minimum of three appointments will be offered over the course of a year.
As a GP, you will receive regular updates on your patients' treatment changes and assessments/investigations. If you have any queries about the details of individual patients that are not made clear in the correspondence, or if you would like to contact one of the consultant cardiologists, please contact the patient care advisor for the relevant consultant. Further details on consultants can be found here.
- Arrhythmia Clinic (E/P)
- Breath Assessment Clinic
- Diabetic and Cardiology Nurse-led Clinics
- Diabetic Coronary Disease (DCD) Clinic
- Vascular Cons Led and Nurse Clinics
- General cardiology
- Open Access Chest Pain Clinic
- Cardiac Rehabilitation Services
Heart Failure Clinic - Support for patients with a poor functioning ventricle. There is a weekly consultant led clinic held in the community at Church Road Medical Centre, Manor Park, with onsite facilities for echo-cardiography and ECG.
Rapid Access Chest Pain Clinic - a one-stop clinics for patients who have seen their GP with new onset chest pain. We provide a fast track specialist cardiology assessment for these patients. Our service at Newham was nationally acclaimed and received a Beacon status in 2000.
To refer a patient to Newham, please use the eRS system.
All services (including the Heart Attack Centre) have now transferred from the London Chest Hospital to the Barts Heart Centre at St Bartholomew’s. Some clinics have been relocated to The Royal London. See details below for new arrangements.
The Cardiac Rehabilitation Clinic will move from The London Chest to The Royal London. Classes currently held at Whitechapel Sports Centre will be remain the same. Referrals should be faxed to 020 3465 6167. The team will contact referrers with further contact details and a revised referral form. In the event you require further assistance please contact Judith Colley on firstname.lastname@example.org or 077 6892 5307.
Heart failure supports for patients with a poor functioning ventricle. The Heart Failure clinic has moved from The London Chest to The Royal London. Referrals should continue to be faxed to 020 3465 6169. For further assistance contact Linzi Sully at Linzianne.Sully@bartshealth.nhs.uk or on 020 8983 2239 (prior to service transfer) or 020 3765 8711 (after service transfer).
- General cardiology
- Vascular Cons Led and Nurse Clinics
Joint Vascular and Diabetic Foot Clinics - Joint renal and cardiac is for patients with coronary artery disease and renal disease.
To refer a patient to The Royal London, either use the eRS system (for first outpatient appointments) or send a letter or fax to:
Outpatients Appointments Office
Barts Health NHS Trust,
1st Floor, 9 Prescot Street
London, E1 8PR
Tel: 020 7767 3200 (8.30am-5pm, Monday to Friday)
Fax: 020 7791 9670
Requests for advice and guidance can be submitted via Choose and Book. A clinician will respond within three working days.
- General cardiology
- Arrhythmia clinic
Heart failure - support for patients with a poor functioning ventricle
Rapid access chest pain clinic - a specialist clinic for patients who have seen their GP with new onset chest pain. We provide expert, nurse led assessment in Byron Cardiology Unit. Access is from Margaret Road, opposite the Margaret Centre. Patients must be referred to this service by their GP and will be sent an appointment to be seen within two weeks of being referred.
Clinics are held in the Byron Outpatient Cardiology Unit, opposite Margaret Centre on Margaret Road.
Tel: 020 8928 8928
Admissions office: 020 8539 5522 ext: 5337 or ext: 5101
Referring patients to the clinic
Patients can be referred to the clinic using the Rapid Access Pain Clinic referral form here.
Whipps Cross run cardiac rehab sessions at local leisure centres. We aim to see all clients within two weeks of a referral. The team is currently developing a football project for heart patients, run at a local school on Wednesday evenings from 5.30-7pm.
Contact Brian Coleman, cardiac rehab nurse specialist at Brian.Coleman@bartshealth.nhs.uk or call 020 8535 6705.
To refer a patient to Whipps Cross, please use the eRS system.
Additional services are run by Barts Health staff at University College Hospital. This includes extensive in-patient services and out-patient services.
The following clinics will run at UCH:
Referals to these clinics can be made via eRS or via the referral contact centre at UCH. Referrals can be emailed to UCLH.email@example.com
The Heart Failure Clinic at UCH will investigate and set a treatment plan for all patients with suspected heart failure. For urgent referral (e.g. patients with a previous MI or BNP> 236pmol/l), or for heart failure advice please email: firstname.lastname@example.org.
For less urgent referral, the clinic is on eRS or by referral letter to the contact centre Dr Simon Woldman / Dr Martin Thomas, Consultant Cardiologist, Medical Specialties Division, UCLH, 250 Euston Road, London.
This world renowned clinic is for patients with cardiac complications of heamoglobinopathies. Referrals are by letter to Dr Malcolm Walker, Consultant Cardiologist, Hatter Cardiovascular Institute, 67 Chenies Mews, London, WC1E 6HX
Maternal Cardiology Clinic
A clinic for pregnant patients who have cardiac disease runs weekly at UCH. Referrals can be made to Dr Fiona Walker, Consultant Cardiologist, Barts NHS Trust. Gloucester House, St Bartholomews Hospital, EC1A 7BE.
Cardiac Rehabilitation Services
A large cardiac rehabilitation service runs in Hatter Cardiovascular Institute. The programme caters for patients after Myocardial infarction, revascularisation or heart failure episodes. To refer a patient call:
Tel: 0203 447 9951
Fax: 0203 447 9039