Health Education Wessex 

Local Representative: Dr Madhu Gangadhara

Training Programme Director: Dr Nick Hayes

The Southampton University Hospitals Paediatric and Adult Congenital Heart Disease Unit currently serves a population of approximately 5 million people living in the counties of Hampshire, Dorset, Wiltshire, West Sussex, Cornwall, Devon, Somerset, the Channel Isles, the Isle of Wight, Oxfordshire, Berkshire, Surrey and West Sussex. We work in close collaboration with congenital cardiac colleagues at the John Radcliffe Hospital as part of a highly functional Congenital Cardiac Network with Oxford.

Integrated cardiac and cardiac surgical services are provided for all age groups at Southampton General Hospital. The department is fully co-located with adult cardiac services and a supra-regional tertiary specialist children’s hospital. Training through to CCT is undertaken in accordance with the current JRCPTB paediatric cardiology curriculum and specialist training in ST7/8 can be offered within the deanery in the following areas:

  • Advanced echocardiography

  • MRI&CT

  • Cardiac catheterisation

  • Fetal cardiology

  • Electrophysiology

  • Adult congenital heart disease

    The unit is recognised for its supportive nature and the quality of the training it provides.

    Facilities

    Southampton general hospital is a fully functional regional/supra-regional University centre for both paediatric and adult medicine. There is close liaison with adult cardiology, cardiac surgery, and paediatrics (including the full range of regional specialist paediatric services).

    The cardiac unit is an integrated facility situated on E level of the Southampton General Hospital and comprises 119 adult cardiology / cardiac surgical beds and a modernised children’s ward comprising 20 paediatric cardiology beds with high care facilities. There is a purpose–built 18 bedded ‘level 3’ paediatric intensive care unit on D level. On average five of these are used for paediatric cardiac surgery but this is flexible and varies according to demand. ECMO facilities are available. The PICU has a dedicated retrieval service for the Oxford and Wessex regions.
    There are four cardiothoracic operating theatres, a dedicated hybrid theatre and four modern, fully equipped, digital cardiac catheterisation labs, with quantitative angiography facilities. One lab is specifically equipped for electrophysiology and ablation procedures. 

  • The department of cardiothoracic radiology, staffed by 4 consultant cardiothoracic radiologists, provides a 24-hour service for the whole range of cardiac radiological imaging including cardiac magnetic resonance imaging and helical CT.

  • Fetal medicine with fetal cardiology, obstetrics, genetics and neonatology is located in the adjacent Princess Anne Hospital immediately opposite SGH.

  • On the Southampton University Hospital site, there is an extensive range of research facilities including the Medical Research Council and Wellcome Research Units. Dedicated conferencing and meeting facilities are located in the Heartbeat suite and a full range of library facilities are available on site at SGH through the University of Southampton.

  • Staff & Trainees

  • 8 Consultant Paediatric Cardiologists:
    Dr Kevin Roman – clinical lead, fetal, advanced echo and MRI Dr James Gnanpragasm – fetal, EP and pacing
    Dr Alan Magee – catheter intervention
    Dr Nicholas Hayes – catheter intervention
    Dr Trevor Richens – catheter intervention
    Dr Tara Bharucha – advanced echo, fetal
    Dr David Black – fetal, advanced echo
    Dr Shankar Sadogopan – EP and pacing

  • 3 Consultant Paediatric & Adult Congenital Cardiac Surgeons Mr Markku Kaarne

  • Mr Nicola Viola
    Mr Michael Lavrsen

  • 4 Specialist Trainees in Paediatric Cardiology
    2 Rotating Specialist Trainees in Paediatrics
    2 Fellows in Paediatric Cardiology
    4 Senior House Officers in Paediatric Cardiology

  • Out-of-hours middle grade cover is provided on a 1:8 on-call basis (non-residential after 21:00). The rota is fully compliant with the new contract.

  • Trainees are assigned duties in rotating weeks, including ward service, out-patient clinics, echocardiography and acute referral cover. There is also exposure to cardiac catheterisation, advanced echo, ACHD, fetal, EP and cardiac MRI / CT which can be tailored in part to the trainees’ interests. During ST7 – 8, trainees increase focus on their specialist area, with 50% of their time dedicated to this.

  • There is a regular weekly teaching programme consisting of consultant delivered teaching, case presentations, journal clubs and echo review meetings. The trainee will be expected to participate in these and in the teaching and supervision of more junior medical staff and medical students, ultimately progressing to take on a take a lead role in undergraduate and postgraduate teaching.

  • Participation in the joint paediatric cardiology conference, M& M and clinical audit is required and research strongly encouraged, with close links to the university and biomedical research unit on site. 

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  • Activity of the Unit

Congenital cardiac surgery >400

Congenital cardiac catheters >350

Paediatric Echocardiograms >7000

Paediatric Cardiology Clinic Sessions (Southampton) 300

Regional Clinics (13 hospitals) 150

  • Whilst it is not possible to detail all the specialist activity offered at the unit, a summary would include daily congenital surgical sessions, 2 all-day congenital catheterisation sessions per week, weekly cardiac MR / CT sessions and a dedicated EP list every fortnight. Over 400 operations and 350 cardiac catheters are performed each year, in patients of all ages with all forms of congenital heart disease.

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  • Further Enquiries

  • Dr Nicholas Hayes, Programme Director, or Dr Kevin Roman, Departmental Lead on 02381 205920. Applicants are welcome to visit the department to view the facilities available and the working environment. 

© 2018 by Ryan Abumehdi with sponsorship from The BCCA