St George’s Healthcare NHS Trust

Healthcare provider: St George’s Healthcare NHS Trust is a large teaching hospital based in South West London and one of the largest healthcare units in the United Kingdom accommodating around 1170 beds and treating around 100,000 inpatient and day cases, and over 350,000 outpatients annually.  The Trust employs almost 5000 staff incorporating over 700 Medical & Dental Staff.  It provides general acute services together with specialty services including Cardiothoracic Medicine and Surgery, Renal Medicine and Surgery, Neurosciences and specialist children’s services. The Cardiothoracic unit provides services in cardiology, cardiac surgery, chest medicine and thoracic surgery: three cardiothoracic wards (233 inpatient and day-case beds), a day care ward, coronary care unit and dedicated cardiothoracic intensive care unit. There are four cardiothoracic operating theatres, a suite of five cardiac catheter laboratories and dedicated outpatient facilities. The full range of adult non-invasive, invasive and interventional cardiology is provided at St. George’s to a catchment area comprising South West London and large parts of Surrey and Sussex.

 Centre for rare and complex heart diseases: The Inherited Cardiac Conditions (ICC) service has been in existence since the 1990s but has grown 3 fold since 2010 and is now the second largest in the country. It is provided by expert cardiology and sports cardiology (Dr Maite Tome, Dr Michael Papadakis, Professor Sanjay Sharma and Dr Elijah Behr), genetics (Dr Tessa Homfray), paediatric cardiology (Dr Jan Till and Dr Tome) and cardiac pathology (Professor Mary Sheppard). There are three full time cardiac genetic nurses, a nurse genetics counsellor and a clinic coordinator attached to the clinic. The team has a world renowned reputation in the study of sudden death, cardiomyopathies and ion channelopathies. The service receives referrals from regionally as well as nationally.  It provides an integrated ‘one-stop’ assessment from a multi-disciplinary team in accordance with Chapter 8 of the National Service Framework and aims to identify individuals who are symptomatic and/or at risk of sudden death from inherited conditions and treat them appropriately, including ICD implantation. The service focuses on families with unexplained sudden deaths (SADS) and ion channel diseases such as the long QT and Brugada syndromes and cardiomyopathy such as arrhythmogenic right ventricular cardiomyopathy (ARVC), hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy.

Dr. Elijah Behr is a cardiologist, cardiac electrophysiologist and the representative member of the St George’s Healthcare NHS Trust in ERN GUARD-HEART.