E05. Congenital heart services


Adult congenital heart disease (ACHD)

Congenital heart disease (CHD) is one of the major categories of illness that, if treated, can restore health and improve quality of life. Adult congenital heart disease (ACHD) affects people aged 16 and over living with a heart defect acquired during fetal development.

The demography of CHD is changing, and this is largely as a consequence of successful cardiac surgery in childhood; there are increasing numbers of adults with CHD with a prevalence of more than four per 1000 adults. The number of ACHD patients with complex disease is increasing with 10% of the population now falling within the complex group.

Paediatric cardiac services

CHD constitutes the bulk of the paediatric cardiac workload. Currently between five and nine babies in every 1000 born in England will suffer from some form of CHD. In 2012 this resulted in 4716 paediatric cardiac surgical procedures. Recent data suggests a continuing increase can be expected in the number of paediatric cardiac surgical procedures beyond previous estimates.


Chair: Dr Andrew Tometzki, Lead Consultant in Paediatric Cardiology, University Hospitals Bristol Foundation Trust

  • Dr Petra Jenkins, Clinical Member
  • Professor Andrew Taylor, Clinical Member
  • Dr Owen Miller, Clinical Member
  • Prof Attilio Lotto, Clinical Member
  • Dr Frances Bu’lock, Clinical Member
  • Mr Andrew Parry, Clinical Member
  • Vicki Hendry, Patient and Public Voice Member
  • Jon Arnold, Patient and Public Voice Member
  • Abbas Khushnood, Affiliate Member, National Institute for Cardiovascular Outcomes Research
  • John Simpson, Affiliate Member, British Congenital Cardiac Association
  • Anthony Prudhoe, Lead Contact


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.

Urgent Policy Statements

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: