Changes to Congenital Heart Disease (CHD) services for Manchester patients
NHS England has announced changes to the way treatment
is provided for patients with congenital heart disease, following a
national review. The changes proposed would see surgery for
adults with congenital heart disease being treated in Liverpool
rather than in Manchester. Implementing any changes will
require discussions between Central Manchester Hospitals NHS
Foundation Trust , Alder Hey Children's Hospital NHS
Foundation Trust and Liverpool Heart and Chest Hospital NHS
Foundation Trust and may need public consultation.
Central Manchester University Hospitals NHS Foundation Trust
(CMFT) has provided a successful specialist congenital heart
disease surgical service to patients from across the North West for
over two decades. Recent external quality assessments by the
National Institute for Cardiovascular Outcomes (NICOR) show that
our clinical outcomes are excellent and feedback from our patients
also demonstrates that this is much valued and trusted service.
We have worked hard to develop proposals to improve the way in
which care is organised in the North West and are disappointed by
the decision NHS England has made, but are clear that the care and
wellbeing of our patients is paramount. To that end we are
seeking urgent clarification from NHS England on the practical
details of the transfer process and timescales, so that we can
reassure our patients and staff and try to address their
Our priority will be to work closely with colleagues in both NHS
England and Liverpool to make the transition as safe and smooth as
possible for our patients and their families.
CMFT provides specialist ante-natal care for pregnant women with
CHD and their babies - this service will remain in Manchester.
Babies born at Saint Mary's Hospital who require heart
surgery are already transferred to Alder Hey Hospital for
treatment. Other cardiology services provided by the Trust
are not affected by the changes.
The Trust's specialist CHD surgery team operates on around 90
adult patients a year, providing a safe, high quality
service. However, from April 2016 new national standards
require hospitals treating CHD to have larger surgical teams with
each surgeon carrying out an average of at least 125 CHD operations
a year. In order to meet these standards, CMFT had submitted
plans to develop children's and adult CHD services and co-locate
them on the central Manchester site, to ensure effective transition
for patients and shared skills.