A05. Cardiac Services

This Clinical Reference Group (CRG) covers specialised cardiology, including the use of complex invasive devices and cardiac surgery as well as transplantation.


This Clinical Reference Group (CRG) covers:

  • the diagnosis and treatment of fast heart rhythms using cardiac electrophysiology studies
  • the use of devices to treat abnormally fast, life threatening heart rhythms
  • services to treat people with inherited cardiac diseases
  • the use of a tube (catheter) to treat specific heart problems which might otherwise have required open surgery (invasive cardiology)
  • opening narrow coronary arteries with a balloon catheter as the first treatment following specific types of heart attack (primary percutaneous coronary intervention)
  • magnetic resonance imaging of the heart
  • cardiac surgery includes provision of surgical interventions for coronary artery disease requiring surgical revascularisation and valve disease requiring surgical valve repair or replacement.


  • CRG lead: Professor Nick Linker
  • Yasmin Stammers, Commissioning lead
  • Mr David Jenkins, clinical member
  • Mr Peter Braidley, clinical member
  • Dr Farzin Fath-Ordoubadi, clinical member
  • Christina Bannister, clinical member
  • Dr Daniel Blackman, clinical member
  • Dr Ronak Rajani, clinical member
  • Helen Ashcroft, Cardiac Pathways Improvement Programme
  • Su Sethi, Public Health England lead
  • Gemma Kierczuk, Patient and Public Voice representative
  • Catherine Fowler, Patient and Public Voice representative
  • Anthony Locke, Patient and Public Voice representative


Simon Ray (Cardiology GIRFT)
Elijah Behr (Association for Inherited Cardiac conditions)
Alistair Slade


A key part of the CRG’s work is the delivery of the ‘products’ of commissioning. These are the tools used by the 10 Hub Commissioning Teams to contract services on an annual basis.

Service Specifications

Service specifications are important in clearly defining the standards of care expected from organisations funded by NHS England to provide specialised care. The specifications have been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe both core and developmental service standards. Core standards are those that all funded providers should be able to demonstrate, with developmental standards being those which may require further changes in practice over time to provide excellence in the field.

The following service specifications fall within the scope of this CRG:


A commissioning policy is a document that defines access to a service for a particular group of patients. A NICE Technology Appraisal Guideline on the same topic will replace, or be incorporated into, a commissioning policy as appropriate. These are important documents that are developed to ensure consistency in access to treatments nationwide.

The following policies fall within the scope of this CRG:


Not routinely commissioned: