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Heart Transplantation Programme At Harefield Hospital To Undergo Review
Royal Brompton & Harefield NHS Trust will be working with the National Specialised
Commissioning Team (NSC Team) and the Healthcare Commission over the next
month on a review of Harefield Hospital's heart transplantation programme.
As part of the Trust's routine monitoring and audit of its transplant operations, data is
collected on post-operative survival including 30-day survival rates. Over the summer
months of 2008, the Trust noted a small increase in mortality rates within 30 days of
heart transplant surgery and, specifically, that the small number of deaths had
occurred consecutively.
As a result, the Trust commenced an internal review at the hospital, developed an
action plan and alerted the NSC Team. The NSC Team subsequently liaised with the
Department of Health and the Healthcare Commission and all parties agreed that an
external review should take place.
The review will be carried out by an independent heart transplant surgeon and a
transplant cardiologist, agreed by the Trust, the NSC Team and the Healthcare
Commission. If suitable donor organs become available during the course of the
review, the transplant team will consult with the external reviewers before
undertaking any heart transplantations. All other services, including the Ventricular
Assist Device (VAD) and lung transplantation programmes, will continue as normal.
The review will comprise a case note review, a review of the actions taken so far and
those planned by the Trust, and is due to be completed by the end of October 2008.
Professor Timothy Evans, Medical Director at Royal Brompton & Harefield NHS
Trust, said, "We welcome the opportunity to work with the National Specialised
Commissioning Team and our independent reviewers over the coming month. Heart
transplantation is an incredibly complex field of medicine and a high-risk procedure. We are keen to be informed by the conclusions of the review and we will work hard to
implement any recommendations which might emerge."
1. In 2007, 24 heart transplant operations were performed at Harefield Hospital, with no
deaths reported within 30 days of operation. To date in 2008, 15 heart transplant
operations have been performed, with no deaths reported within 30 days for 11
patients. However, during July - September 2008, four consecutive deaths were
reported within 30 days which triggered the Trust's own internal review.
The external review will look at all heart transplant deaths reported in 2008: four
consecutive deaths within 30 days of heart transplantation (as above), plus two
deaths between 30-90 days and one death reported beyond 90 days.
2. In 2007, 24 lung (single and double) transplant operations were carried out at
Harefield Hospital, with one death reported within 30 days. So far this year, 21 lung
transplant operations have been performed and no deaths have been reported within
30 days.
3. The Trust has informed all patients currently waiting for a heart transplant at Harefield
Hospital about the review. Patients or relatives with any concerns about the
transplant service are advised to contact the transplant coordinators on 01895 82 37
37, bleep 6275, or the transplant senior nurse/modern matron on bleep 6303.
4. The National Specialised Commissioning Team is made up of the secretariat and
staff that support the National Commissioning Group and the National Specialised
Commissioning Group.
5. The Healthcare Commission is the health watchdog in England. It keeps a check on
health services to ensure that they are meeting standards in a range of areas. The
Commission also promotes improvements in the quality of healthcare and public
health in England through independent, authoritative, patient-centred assessments of
those who provide services.
Royal Brompton and Harefield NHS
http://www.rbht.nhs.uk
Programul de transplant de inima Harefield la spital sã fie supus de revizuire - Heart Transplantation Programme At Harefield Hospital To Undergo Review - articole medicale engleza - startsanatate