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Appendix 1 - cardiology transformation programme

Committee report · Health Overview and Scrutiny Committee · Thu 11 Dec 2025 · East Sussex County Council · agenda item 26

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The Trust's paper provides an update to the HOSC on the cardiology transformation programme, following recommendations made by the Committee on 15 December 2022. p3

Consolidation of Primary Percutaneous Coronary Intervention, Elective and Inpatient Cardiology activity has now been completed at Eastbourne District General Hospital in October 2025. p10

Diagnostics and outpatient cardiology services continue to be offered at both Eastbourne District General Hospital and Conquest Hospital, so patients have local access to cardiology care except for interventional procedures and specialist inpatient stays. p11

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  • p3Purpose of this paper 1.6 This aim of this paper is to provide an update to the HOSC regarding the key actions against their recommendations made on 15 December 2022, and well as to provide additional context on the implementation plans and activities which have been undertaken since.
  • p10· Other services provided at each of the hospitals will not be affected or downgraded by the proposals for cardiology. 2.4 Rather than being a recommendation that ESHT and the ICB were required to action, recommendation 1 was an endorsement of the clinical model proposed in the Decision-Making Business Case. 2.5 Consolidation of Primary Percutaneous Coronary Intervention (PCI), Elective and Inpatient Cardiology activity has now been completed at EDGH in October 2025, following an extensive estates and construction plan. We have completed the staff consultation process and have implemented the front door model with Cardiac Response Team’s supporting the emergency departments (EDs). 2.6 The front door model has allowed us to start to deliver the benefits of the model of care described during the consultation, including the provision of improved pathways avoiding lengthy discharge and referral processes via GPs in the community whilst patients wait for a Cardiology outpatient appointment, and expediting early diagnostics and treatment. This is being provided at both sites.
  • p112.7 Diagnostics and outpatient cardiology services continue to be offered at both sites, so that cardiology patients have local access to the cardiology specialty at their nearest hospital for all cardiology care except interventional procedures and specialist inpatient stays. Cardiology opinion, and cardiac monitoring, remains available at both sites. 2.8 The impact of the new model of care has also meant that we have been able to successfully recruit to long term vacant posts, which helps reduce reliance on bank and agency, and ensure the future sustainability of the service. 2.9 We can confirm that other services at the hospitals have not been affected or downgraded as a result of the cardiology transformation. Careful effort has been made throughout implementation to ensure operational continuity throughout the extensive programme of estates reconfiguration work. 2.10 SECAmb have commented on the service received since the consolidation over the past few weeks. Specifically, they have fed back how well the model is working for receiving patients through ED, how quickly patients have been streamed to the lab when this has been required, and noted the good outcomes for patients so far. 2.11 We are currently completing an initial benefits realisation project, which will help us to understand the scale of the improvements already made, and where we should focus our efforts next. Recommendation 2 The Board recommends:

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