Rapid Access Chest Pain Clinic (RACPC) – Royal Free

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Rapid access clinic at Royal Free Hospital (RFH) for patients presenting with symptoms that suggest new onset angina. Aims to see all patients within two weeks of being referred.

The service provides:

  • assessment for suspected angina
  • treatment to relieve symptoms and reduce risk
  • information on treatment options/modifiable risk factors

For patients with known IHD, send to a general cardiology clinic unless they have new or worsening symptoms.

Patients with suspected MI or acute coronary syndrome should go directly to A&E.

Please see the chest pain pathway.

Eligibility criteria


  • Exertional chest pain suggestive of new onset angina within last two months.
  • Pain suggestive of cardiac ischaemia and/or some atypical features but is accompanied by significant cardiac risk.
  • BP must be below 180mmHg systolic and 90mmHg diastolic.


  • Patients with suspected acute myocardial infarction or an unstable acute coronary syndrome (refer directly and promptly to A&E).
  • Patients who are currently or have previously been investigated by a cardiologist in the past five years.
  • Women aged 40 and below and men aged 30 years and below.

How to Refer EMIS Forms

Complete the proforma (see Downloads) and send by e-Referral – as this is an urgent service appointments must be booked directly with the hospital and not through CCAS.

e-Referral instructions:


  • Priority – Urgent
  • Specialty – Cardiology
  • Clinic type – Ischaemic Heart Disease or Rapid Access Chest Pain inc Exercise ECG

Contact Details

Royal Free

t: 020 7794 0500 x32262 (clinical nurse specialist team)

t: 020 7794 0500 x35182 (cardiology admissions coordinator)

t: 020 7794 0500 x33010 (cardiology consultants)

e: rf.racpcbookings@nhs.net