1. CHD standards and Networks
Yorkshire and Humber Congenital Heart Disease Network
CHD standards and Networks
Debra Wheeler
General Manager
Yorkshire and Humber CHD Network

2. A bit of CHD history History of scrutiny and failed reviews since 2001
Safe and Sustainable Review 2008 (children’s services only )
New Congenital Heart Disease Review whole patient pathway

3. C Standards based approach
Developed by professionals, patients and families
Based on highest possible quality
To ensure equity across the country
2016 published CHD Standards and Specifications
To guide future commissioning decisions
Regarded as challenging

4. WITHIN AN OVERARCHING CHD NETWORK
3 tier model of CHD care
Level 1 Specialist Surgical Centres
All surgery and intervention
Level 2 Specialist Cardiology Centres
Same level of medical care as Level 1
Level 3 Local Cardiology Centres
Consultants with interest in CHD
Joint clinics
WITHIN AN OVERARCHING CHD NETWORK

5. The Standards Apply to each tier of care Over 200 individual standards
3 standards that dominate
Surgeon numbers (by 2021 teams of 4 doing 125 procedures each)
Co-located services (certain paediatric specialties on same site as children’s CHD)
Interventional cardiology (by 2017 teams of 4 doing 100/50 procedures)

6. The 12 categories The Network Approach Staffing and Skills Facilities
Interdependencies
Training and education
Organisation, governance and audit
Research
Communication with patients
Transition
Pregnancy and contraception
Palliative care and bereavement
Dental

7. Yorkshire and Humber Congenital Heart Disease Network
Children’s Network in place for more than 20 years
It’s now an integrated Network- adults and children’s
Covers Yorkshire, Humber and North Derbyshire

8. What is a Network ? Joined up care across a geographical patch
Group of providers
Improving outcomes
Equity of access
Consistency of practice
Clinically driven
Collaborative

9. L Our Level 3 Network Hospitals
Airedale
Barnsley
Bassetlaw
Bradford
Calderdale
Castle Hill Hospital
Chesterfield
Dewsbury
Doncaster
Grimsby
Hull Royal Infirmary
Leeds Teaching
Rotherham
Scarborough
Scunthorpe
Sheffield Children’s
Northern General Sheffield
Wakefield
York

10. Where are we now ?
All Level 1 Surgical Centres have to establish a managed network
Dr Elspeth Brown (Paediatric Cardiologist ) appointed as Lead Clinician
Debra Wheeler appointed as General Manager
Jo Quirk appointed as Lead Nurse
Kate English appointed as Specialty Lead for ACHD
January 26th - formal re-launch of the Network

11. What are we up to ?
Informal visits to all the Local Cardiology Centres
Assessment of compliance against the standards for Local Cardiology Centres
Established a website on NHS Networks
networks/yorkshire-and-humber-congenital-cardiac-network
Developing a work programme

12. Our priorities Guidelines/protocols Nursing link nurses
training/education
rotation
transition
Education
Echocardiography
equipment
training
Clinical Governance
Telemedicine/IT

13. Long term aims To be the best Network
To ensure we meet all the national service standards and specifications
To improve access and outcomes
To genuinely listen to our patients and their families
To be committed to collaborative working and continual service improvement