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 for outpatient assessment within four weeks of being referred, and all patients requiring angiography to have their procedure within two weeks of their initial assessment.

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.

Clinical contacts:

  • t: 020 7794 0500 x32262 (clinical nurse specialist team)
  • t: 020 7794 0500 x34281 (secretary to CNS team)
  • t: 020 7794 0500 x39461 (cardiology service manager)

Eligibility criteria

Inclusions

  • 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.

Exclusions

  • 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 form Download Form

Referral methods: E-referral

Complete the EMIS form and send by e-Referral – (direct to hospital, not through CCAS).

e-Referral instructions:

  • RACPC
  • Priority – Urgent
  • Specialty – Cardiology
  • Clinic type – Ischaemic Heart Disease or Rapid Access Chest Pain inc Exercise ECG
Editable PDF / Word document Download Form

Referral methods: E-referral

Complete the referral form and send by e-Referral – (direct to hospital, not through CCAS).

e-Referral instructions:

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