Barts Health NHS Trust
Barts Heart, St Bartholomew's Hospital

St. Bartholomew’s Hospital (Barts) is the oldest hospital in Europe and was founded in 1123. 

Barts Heart Centre (BHC) is a recently formed venture (2015) created by the merger of cardiothoracic services from the London Chest Hospital, St Bartholomew’s Hospital and the Heart Hospital. This created the UK’s largest cardiothoracic centre with nearly all specialist cardiac services for North Central and North East London and beyond, as well as highly specialised national services.

 

Anaesthetic trainees rotating to Barts are exposed to most aspects of cardiothoracic anaesthesia and intensive care excluding transplantation.  Most trainees rotate here for three months at intermediate and higher levels but there are plans to try to create 6 month posts in the future.

 

Our three critical care units provide all aspects of care for cardiothoracic surgical  and cardiology patients including extracorporeal support when required.

 

We have a local teaching programme for pre-fellowship trainees and extensive teaching and training in advanced techniques, including echocardiography for higher and advanced trainees.

Days are typically an early start with 2-3 theatre cases per day and predominantly cardiac operations. You’ll get an opportunity to learn basic transoesophageal echo skills and all lists are Consultant delivered.

 

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Departmental Information:

Barts Heart Centre

Department of Perioperative Medicine

St Bartholomew's Hospital

Barts Health NHS Trust

West Smithfield

London

EC1A 7BE

 

Number of operating theatres:

 

Number of ICU inpatient beds/HDU beds:

Number of operations /procedures per year:

Surgical Specialities:

Number of Staff:

 

Cardiothoracic surgery theatres:  8

Hybrid theatre:  1

Robotic Surgery theatre:  1

Cath Labs:  10

(GAs provided in 1-2 for EP and 1 hybrid for TAVI/structural intervention daily)

ITU 1C: 16 cardiothoracic beds

ITU 1E:  11 cardiothoracic beds

HDU 1D:  12 - 14 beds

ITU 6A:  12 - 16 beds inc. ECMO

CCU 3A:  6 HDU level beds

  • 2000 cardiac cases per annum (CABG, valve replacements & repairs (including minimal access surgery), complex aortic surgery (including dissections) and adult congenital surgery)

  • 1200 thoracic cases (including robotic assisted and other minimal access surgery)

  • the biggest TAVI programme in the UK with 350 - 400 implants a year

  • the largest EP service in Europe (~4000 cases per year with around 500 requiring general anaesthesia). 

  • the busiest heart-attack centres in the UK.

Cardiac; thoracics; major aorto-vascular; robotics (thoracic and soon cardiac); hybrid procedures; interventional cardiology; electrophysiology; structural cardiology; adult congenital cardiology (GUCH); ECMO

47 anaesthesia / ICM consultants

9 Senior Fellows

18 middle grade (rotational) trainees

16 SHO grade doctors on the ICUs (8 CMT and 8 junior fellow posts)

College Tutor Details

 

 

Rota Details for Trainees

 

Number of trainees on rota:  18 trainees on a two-line rota

Banding:  1:9​

 

Modules Available for Anaesthetic Training

  • Intermediate / Higher / Advanced Cardiothoracic Anaesthesia

  • Advanced ITU

  • Non-theatre

  • Management module    

 

Special Training Opportunities / Fellowships

 

  • Advanced Cardiothoracic Fellowship posts (minimum 9 posts per year)

  • Transoesophageal Echo

  • Transthoracic Echo (FICE)

  • Major aortic surgery

  • Adult congenital cardiac disease (GUCH)

  • ECMO

 

Local Education Opportunities

 

  • Weekly teaching: 

    • Final FRCA Teaching on Mondays

    • Journal Club on Tuesdays

    • ITU teaching on Wednesdays

    • TOE teaching on Thursdays

    • Fellow Club (monthly)         

  • Pan NE & NC FRCA Teaching days on cardiothoracic anaesthesia

  • Courses:

    • Heartworks TOE Simulator​

    • ECMO Course

    • FICE Course

    • One Lung Ventilation Course

    • Lung Ultrasound Course

Research / Audit / Academic Opportunities

 

  • Renal Failure and Sepsis. Peri-operative Echo (Dr Colin Hamilton-Davis and Dr Andrew Smith)

  • ICM related research (Prof Mark Griffiths / Prof Charles Hinds)

  • Assorted other projects with individual consultants (Dr Ben O'Brien / Dr Sibs Anwar / Dr Roger Cordery)

  • Multiple audit / QI projects (Dr Liz Ogilvie)   

 

 

Contact details for further information

 

Dr Elizabeth Ogilvie, College Tutor

Dr Mary White, Faculty Tutor, ICM

Dr Elizabeth Ashley, Senior Fellowship programme

Dr Roger Cordery, Senior / Junior Fellowship Programme, Deputy RA - BLSA

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