East Midlands Congenital Heart Centre, Leicester
Local Representative: Dr Christopher Oakley
Training Programme Director: Dr Suhair Shebani
Currently located at the Glenfield Hospital, East Midlands Congenital Heart centre serves a catchment population of over 4.5 million. Following endorsement in the recent Congenital Heart Review, we are confident that the service not only fulfils but in many areas already exceeds the required standards of excellence for the future and will continue with our strong track record of recruiting and training high quality paediatric cardiologists. University Hospitals of Leicester NHS trust is committed to supporting the service going forward and to co-locating the paediatric component of the service to a new service provision and facilities with the Leicester Royal Infirmary by 2019.
We are likely to have 1 ST4 post available this year. They will join a team of 6 middle grade cardiology doctors; 4 NTNs and 2 trust fellows, working a 1 in 6 non-resident on-call rota. It is expected that all trainees will rotate to Birmingham Childrens’ hospital for 1 of the ST4-6 years and some may indeed start at BCH depending on the rota gaps. Opportunities also exist for rotational training at ST7 or 8 depending on the trainees chosen special interest area.
East Midlands Congenital Heart centre is a world renowned centre of pioneering excellence. The unit not only introduced ECMO to the UK, but has continued to lead and develop this field of complex total life support for the sickest and most vulnerable children. It is also the centre that pioneered transcatheter ASD closure and latterly transcatheter aortic valve replacement in the UK.
All subspeciality areas except quaternary pulmonary hypertension and transplant training are offered. The centre has consistently rated highly and improved in national trainees surveys and recently was rated ‘outstanding’ for their ARCP processes.
Facilities include High Dependency, Day Care and Outpatient Units. There are 19 paediatric cardiology ward beds and 12 dedicated paediatric cardiology and paediatric ECMO PICU / HDU beds. There are 130+ adult cardiac beds comprising 40 cardiac surgical beds, 30 adult cardiac / surgical ICU beds and 60 cardiovascular medicine beds including an 18 bedded Coronary Care Unit. We have four Consultant Congenital Heart Surgeons at the present time (with one Professor). Adult congenital cardiology and cardiac surgery inpatients are generally co-located on adjacent wards with shared junior staff cover.
There is a separate dedicated Congenital Heart Disease outpatient facility with its own ‘one stop’ digital echo’ facilities, Holter monitoring and exercise testing, and there is close collaboration with the ‘adult acquired’ non-invasive investigations service for cardiopulmonary exercise testing, pacing etc. Both paediatric and adult congenital cardiology outpatient clinics are held at Glenfield and at our network partner Trusts around the East Midlands, including Nottingham, Derby, Lincoln, Grantham, Boston, Mansfield, Peterborough, and Kettering. Additional clinics for Nuneaton are being developed.
There is a large angiocatheter suite with six catheter laboratories including 1 biplane congenital laboratory and two with full electrophysiology equipment. The full range of complex congenital intervention procedures are under taken including transcatheter valve replacement, VSD closure, neonatal RVOT stenting and catheter intervention for patients receiving ECMO. UHL’s vascular surgical and interventional programme is now also located at Glenfield Hospital providing us with the ability to undertake complex hybrid procedures in a dedicated suite as well.
We have, and use, ‘state of the art’ cardiac CT scanning and MRI facilities on site including a dedicated 3T Cardiac research scanner. In addition to the cardiology, cardiac surgery and ECMO programmes, respiratory medicine and thoracic surgery are also on site.
Research: EMCHC has an excellent track record of groundbreaking clinical and laboratory research with major investments from the British Heart Foundation, Wellcome and Sanger Institutes (genomic research) and Leicester was recently is
one of very few the new government
Current Senior Staff in EMCHC are:
Dr Aidan Bolger - Consultant Cardiologist: ACHD, Head of Service
Dr Frances Bu’Lock - Consultant Paediatric Cardiologist: Fetal and ACHD (SAC Chair, clinical lead for Paediatric Cardiology, TPD, Honorary Associate Professor in Congenital and Paediatric Cardiology)
Dr Daniel Velasco-Sanchez -Consultant Paediatric Cardiologist: Intervention
Dr Marinos Kantzis - Consultant Paediatric Cardiologist: Intervention
Dr Vinay Bhole - Consultant Paediatric Cardiologist EP (shared contract with BCH)
Dr Suhair Shebani - Consultant Paediatric Cardiologist: Fetal and advanced echo
Dr Katie Linter - Consultant Paediatric Cardiologist: General Paediatric Cardiology and Fetal
Dr Simon MacDonald - Consultant Cardiologist: ACHD
Dr Saran Durairaj - Consultant Paediatric Cardiologist: MRI and CT
Dr Thomas Mukasa - Locum consultant Paediatric Cardiologist
Dr Salem Rahouma - Locum consultant Paediatric Cardiologist
Dr tbc - Consultant Paediatric Cardiologist (imaging)
Dr tbc - Consultant ACHD Cardiologist
funded (£11M) Biomedical Research centres.
4 Paediatric cardiology NTNs, 2 paediatric cardiology fellows 1 Specialist registrar, 1 Clinical Fellow ACHD
2-3 Paediatric registrars (Special Expertise in Cardiology)
Dr Frances Bu’Lock
Training Programme Director